Mechanical circulatory support in univentricular hearts: current management.
Failing single-ventricle patients have now come into focus as the next cohort where improvement in outcomes for mechanical circulatory support can be realized. There is a paucity of published patient reports or management protocols in this patient population. Increased interest exists in finding answers of how to bridge these patients to transplant. We review the current literature and describe our approach to the patient with univentricular heart needing mechanical circulatory support.
Division of Cardiac Surgery, University of Alberta, Stollery Children׳s Hospital, Edmonton, Alberta, Canada. Electronic address: drhorne@shaw.ca.
David
D
Horne
Division of Pediatric Cardiology, University of Alberta, Stollery Children׳s Hospital, Edmonton, Alberta, Canada.
Jennifer
J
Conway
Division of Cardiac Surgery, University of Alberta, Stollery Children׳s Hospital, Edmonton, Alberta, Canada.
Ivan M
IM
Rebeyka
Division of Cardiac Surgery, University of Alberta, Stollery Children׳s Hospital, Edmonton, Alberta, Canada.
Holger
H
Buchholz
D004867:Equipment Design; D018729:Fontan Procedure; D006330:Heart Defects, Congenital / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D018579:Patient Selection