Short communication, Note
Ventricular Assist Device Support in Advanced Heart Failure Patient with Congenitally Corrected Transposition of the Great Arteries and Dextrocardia- Case Report and Review
Sandra Jakšić Jurinjak
Boris Starčević
Mario Udovičić
Mira Stipčević
Nikola Bradić
Dubravka Šušnjar
Mislav Planinc
Igor Rudež
Željko Sutlić
Abstract
Congenitally corrected transposition of the great arteries (ccTGA) is congenital cardiac malformation with an incidence of 0.5% of all patients with congenital heart defects. Dextrocardia is reported among these patients up to 20%. We report a 52-year old female patient with ccTGA and dextrocardia with situs solitus. Due to congestive heart failure refractory to medications and high pulmonary vascular resistance multidis- ciplinary team decided for long term unloading with ventricular assist device as a bridge to heart transplant candidacy. In September 2017 intrapericardial ventricular assist device (centrifugal continuous flow, fully magnetically-levitated technology) was implanted in failing systemic ventricle. Accurate imaging (trans- thoracic echocardiography with contrast, transoesophagic echocardiography, cardiac MSCT) in multidis- ciplinary heart team is pivotal in successful implantation of small size intrapericardial VAD in patient with complex anatomy as ccTGA and dextrocardia. Because the existing literature consists mainly of case reports, management should include the stepwise introduction of the treatment modalities and close monitoring of the clinical response as well as heart multidisciplinary team.
Keywords
congenitally corrected transposition of the great arteries; dextrocardia; ventricular assist device; heart failure
Hrčak ID:
243969
URI
Publication date:
15.6.2020.
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