Improved Systemic Saturation after Ventricular Assist Device Implantation in a Patient with Decompensated Dextro-Transposition of the Great Arteries after the Fontan Procedure

被引：7
|
作者：
Jabbar, Ali Abdul [1 ,3 ]
Franklin, Wayne J. [3 ]
Simpson, Leo [1 ,3 ]
Civitello, Andrew B. [1 ,3 ]
Delgado, Reynolds M., III [1 ]
Frazier, O. H. [2 ]
机构：
[1] St Lukes Episcopal Hosp, Texas Heart Inst, Dept Cardiol, Houston, TX 77030 USA
[2] St Lukes Episcopal Hosp, Texas Heart Inst, Ctr Cardiac Support, Houston, TX 77030 USA
[3] Baylor Coll Med, Dept Med, Cardiol Sect, Houston, TX 77030 USA
来源：
TEXAS HEART INSTITUTE JOURNAL | 2015年 / 42卷 / 01期
关键词：
Arteriovenous shunt/etiology; cardiac surgical procedures/adverse effects; Fontan procedure; heart-assist devices; pulmonary circulation; recovery of function; transposition of great vessels/complications/physiopathology/surgery; treatment outcome; ventricular dysfunction/etiology; PULMONARY BLOOD-FLOW; CONGENITALLY CORRECTED TRANSPOSITION; ARTERIOVENOUS-FISTULAS; SUPPORT; ADOLESCENT; CHILDREN; ADULT; SHUNT;
D O I：
10.14503/THIJ-13-3374
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report the successful implantation of a HeartMate II left ventricular assist device after a failed Fontan procedure in a patient with dextro-transposition of the great arteries. The patient had developed significant intrapulmonary arteriovenous shunting. Despite the theoretical risk of worsening intrapulmonary shunting due to the decrease in systemic vascular resistance after device implantation, our patient did well. He was discharged from the hospital in stable condition and had better oxygen saturation than before the device was implanted. To our knowledge, ours is the 2nd report of the use of a ventricular assist device after the failure of a Fontan procedure, and the first report concerning the effect of ventricular assist device implantation on intrapulmonary shunting.
引用
收藏
页码：40 / 43
页数：4
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