title: Ventricular assist device for failing systemic ventricle in an adult with prior mustard procedure.
abstract: The Mustard procedure is a palliative surgical procedure used to repair complete transposition of the great arteries. Cardiac transplantation remains the only definitive therapy for patients who develop heart failure after a Mustard procedure. However, pulmonary hypertension represents a major hemodynamic contraindication. The use of a ventricular assist device as destination therapy has not yet been established after a Mustard procedure. Here, we present the case of a 41-year-old patient who presented with systemic right ventricular failure following Mustard procedure complicated by pulmonary hypertension. The patient received a HeartMate II (Thoratec, Pleasanton, CA) ventricular assist device as a bridge to decision.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Columbia University Medical Center, New York, New York 48824-1317, USA. rcn2101@columbia.edu
authors.forename: Robert C
authors.initials: RC
authors.lastname: Neely
authors.forename: Robert Patrick
authors.initials: RP
authors.lastname: Davis
authors.forename: Elizabeth H
authors.initials: EH
authors.lastname: Stephens
authors.forename: Hiroo
authors.initials: H
authors.lastname: Takayama
authors.forename: Zain
authors.initials: Z
authors.lastname: Khalpey
authors.forename: Jonathan
authors.initials: J
authors.lastname: Ginns
authors.forename: Sun Hi
authors.initials: SH
authors.lastname: Lee
authors.forename: Jonathan
authors.initials: J
authors.lastname: Chen
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods; D006333:Heart Failure / Q000150:complications / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D014188:Transposition of Great Vessels / Q000601:surgery; D018497:Ventricular Dysfunction, Right / Q000150:complications / Q000601:surgery*
keywords: 27