title: Implanting a Nonpulsatile Axial Flow Left Ventricular Assist Device as a Bridge to Transplant for Systemic Ventricular Failure After A Mustard Procedure.
abstract: Right (systemic) ventricular failure is well described after a Mustard procedure for transposition of the great arteries. Sixty-one percent of patients have been reported to show moderate-to-severe dysfunction of the systemic ventricle, 25 years after repair of transposition of the great arteries by a Mustard procedure. In such cases, heart transplant often seems to be the only option. When severe heart failure with hemodynamic instability develops, the only way to bridge these patients to a transplant is implantation of a mechanical circulatory support system. Because of the special anatomic features of the right ventricle, the implantation procedure can be challenging. Here, we report the case of a patient who underwent a left ventricular assist device implant owing to severe heart failure, 36 years after undergoing a Mustard procedure.
authors.affiliation: From the Cardiothoracic Surgery, University Hospital of Muenster, Albert-Schweitzer Campus 1, Gebaeude: A1, 48149 Muenster, Germany.
authors.forename: Abdul Rahman
authors.initials: AR
authors.lastname: Dakkak
authors.forename: Juergen Reinhard
authors.initials: JR
authors.lastname: Sindermann
authors.forename: Angelo Maria
authors.initials: AM
authors.lastname: Dell'Aquila
authors.forename: Henryk Adrian
authors.initials: HA
authors.lastname: Welp
authors.forename: Sven
authors.initials: S
authors.lastname: Martens
authors.forename: Mirela
authors.initials: M
authors.lastname: Scherer
mesh_terms: D000328:Adult; D000069278:Arterial Switch Operation / Q000009:adverse effects*; D005260:Female; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006801:Humans; D011474:Prosthesis Design; D012720:Severity of Illness Index; D013997:Time Factors; D014188:Transposition of Great Vessels / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016277:Ventricular Function, Left; D014850:Waiting Lists