Left ventricular assist device implantation in a patient with congenitally corrected transposition of the great arteries.
Congenitally corrected transposition of the great arteries (ccTGA) is a rare anomaly characterized by atrioventricular and ventriculo-arterial discordance and several other malformations that eventually lead to heart failure. We describe the case of a 53-year-old woman with ccTGA and aortic insufficiency who was a candidate for heart transplantation due to end-stage congestive heart failure. Her condition deteriorated before a suitable donor heart could be found; therefore, we placed a left ventricular assist device in the right (systemic) ventricle. Concomitantly, we removed the aortic (systemic) valve, closed the aortic annulus with a bovine pericardial patch, and repaired the mitral valve. The patient recovered uneventfully and was discharged from the hospital 2 months postoperatively. She underwent cardiac transplantation approximately 6 months later and continued to do well after 18 months.
Gregoric
Igor D
ID
The Cardiopulmonary Transplant Service, Texas Heart Institute, Houston, Texas 77030, USA. knowlin@heart.thi.tmc.edu
Kosir
Roman
R
Smart
Frank W
FW
Messner
Gregory N
GN
Patel
Vijay S
VS
La Francesca
Saverio
S
Cervera
Roberto D
RD
Frazier
O H
OH
D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods*