Intra-aortic balloon pump use in the failing Fontan circulation.
Acute cardiogenic shock in patients with Fontan physiology, while uncommon, is associated with devastating outcomes. Management of these patients is increasingly relying on the use of mechanical support. The use of intra-aortic balloon pump is underutilized. This report highlights the successful use of this modality in an adult with Fontan physiology and reviews the literature on this approach in such patients.
Moran
Adrian M
AM
Barbara Bush Children's Hospital, Division of Pediatric Cardiology, Department of Pediatrics, Portland, ME 04102, USA. Morana1@mmc.org
Blume
Elizabeth D
ED
Quinn
Reed
R
D000328:Adult; D003326:Coronary Circulation; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D006333:Heart Failure / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D018579:Patient Selection; D012720:Severity of Illness Index; D018487:Ventricular Dysfunction, Left / Q000150:complications* / Q000209:etiology / Q000503:physiopathology / Q000601:surgery