Ventricular Assist Device in Single-Ventricle Heart Disease and a Superior Cavopulmonary Anastomosis

Robert A. Niebler*, Tejas K. Shah, Michael E. Mitchell, Ronald K. Woods, Steven D. Zangwill, James S. Tweddell, Stuart Berger, Nancy S. Ghanayem

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Our objective is to describe the use of a ventricular assist device (VAD) in single-ventricle patients with circulatory failure following superior cavopulmonary anastomosis (SCPA). We performed a retrospective chart review of all single-ventricle patients supported with a VAD following SCPA. Implantation techniques, physiologic parameters while supported, medical and surgical interventions postimplant, and outcomes were reviewed. Four patients were supported with an EXCOR Pediatric (Berlin Heart Inc., The Woodlands, TX, USA) following SCPA for a median duration of 10.5 days (range 9-312 days). Selective excision of trabeculae and chords facilitated apical cannulation in all patients without inflow obstruction. There were two pump exchanges in the one patient supported for 312 days. Two patients were evaluated by cardiac catheterization while supported. Three of four patients were successfully bridged to transplantation. One patient died while supported. All patients had significant bleeding at the time of transplantation, and one required posttransplant extracorporeal membrane oxygenation with subsequent full recovery. VAD support can provide a successful bridge to transplantation in patients with single-ventricle circulation following SCPA. A thorough understanding of the challenges encountered during this support is necessary for successful outcomes.

Original languageEnglish (US)
Pages (from-to)180-184
Number of pages5
JournalArtificial Organs
Volume40
Issue number2
DOIs
StatePublished - Feb 1 2016

Keywords

  • Cavopulmonary anastomosis
  • Congenital heart disease
  • Heart transplantation
  • Mechanical circulatory support
  • Pediatrics

ASJC Scopus subject areas

  • Bioengineering
  • Medicine (miscellaneous)
  • Biomaterials
  • Biomedical Engineering

Fingerprint Dive into the research topics of 'Ventricular Assist Device in Single-Ventricle Heart Disease and a Superior Cavopulmonary Anastomosis'. Together they form a unique fingerprint.

Cite this