title: Biventricular failure in dextro-transposition of the great arteries corrected with the Mustard procedure: VAD support of the systemic ventricle is enough.
abstract: BACKGROUND
  Miniaturization and surgical progress in the field of ventricular assist device (VAD) therapy will lead to an increasing use in grown-up patients with congenital heart disease (GUCH). VAD implantation in such patients, especially biventricular VAD (BVAD) placement, can be very challenging, potentially associated with high morbidity and mortality.
  
  
  RESULTS
  We report on a 47-year-old male patient in terminal biventricular failure with pulmonary hypertension 40 years after a Mustard procedure. The patient was successfully provided with a HVAD (HeartWare; HeartWare Inc., Framingham, MA, USA) into the systemic ventricle as bridge to transplantation, with the sub-pulmonary ventricle left unsupported.
  
  
  CONCLUSIONS
  We present our institutional strategy for VAD selection in these patients and highlight intra-corporeal VAD implantation technique.
authors.affiliation: 1 Department of Congenital Cardiovascular Surgery, University Children's Hospital Zurich, Zurich - Switzerland.
authors.forename: Martin
authors.initials: M
authors.lastname: Schweiger
authors.forename: Volkmar
authors.initials: V
authors.lastname: Falk
authors.forename: Mirko
authors.initials: M
authors.lastname: Biry
authors.forename: Michael
authors.initials: M
authors.lastname: Hübler
authors.forename: Markus J
authors.initials: MJ
authors.lastname: Wilhelm
mesh_terms: D000069278:Arterial Switch Operation / Q000009:adverse effects* / Q000379:methods; D001243:Assisted Circulation / Q000295:instrumentation / Q000379:methods; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D016027:Heart Transplantation / Q000379:methods; D006353:Heart-Assist Devices; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D011300:Preoperative Care / Q000295:instrumentation* / Q000379:methods; D012720:Severity of Illness Index; D014188:Transposition of Great Vessels / Q000601:surgery*