title: Total circulatory support with an LVAD in an adolescent with a previous Fontan procedure.
abstract: We report the case of a 14-year-old boy who developed ischemic contracture of the heart after open heart surgery to correct complex congenital heart disease. Because he had no cardiac function, an extracorporeal, continuous-flow device was used to support him until he was transferred to our institution. Shortly after his arrival, an implantable, long-term left ventricular assist device was implanted. The univentricular pump provided total cardiac support for this critically ill patient. After normalization of end-organ function, the patient underwent successful orthotopic cardiac transplantation.
authors.affiliation: The Department of Cardiopulmonary Transplantation, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA. knowlin@heart.thi.tmc.edu
authors.forename: O H
authors.initials: OH
authors.lastname: Frazier
authors.forename: Igor D
authors.initials: ID
authors.lastname: Gregoric
authors.forename: Gregory N
authors.initials: GN
authors.lastname: Messner
mesh_terms: D000293:Adolescent; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000601:surgery; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D017682:Myocardial Stunning / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D011652:Pulmonary Circulation; D014655:Vascular Resistance