Use of Left Ventricular Assist Device After Arterial Switch Operation in Late Presenting D-Transposition of Great Arteries—A Technique for Retraining the Regressed Left Ventricle

Author:

Malankar Dhananjay P.1,Patil Sachin2,Mali Shivaji2,Dhake Shyam2,Soni Bharat1,Kandavel Dinesh1,Mhatre Amit2,Bind Dilip2,Garekar Swati3

Affiliation:

1. Department of Paediatric Cardiac Surgery, Fortis Paediatric and Congenital Heart Centre, Mulund, Mumbai, Maharashtra, India

2. Department of Paediatric Cardiac Anaesthesia and Critical Care, Fortis Paediatric and Congenital Heart Centre, Mulund, Mumbai, Maharashtra, India

3. Department of Paediatric Cardiology, Fortis Paediatric and Congenital Heart Centre, Mulund, Mumbai, Maharashtra, India

Abstract

The preferred approach for patients with D-transposition of the great arteries with an intact ventricular septum (DTGA/IVS) is the arterial switch operation (ASO). In those patients presenting late, with regressed left ventricle (LV), successful LV preparation is of paramount importance to achieve this goal. We present a toddler with DTGA/IVS who underwent ASO followed by successful left ventricular retraining with postoperative left ventricular assist device support with CentriMag centrifugal pump.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology, and Child Health,Surgery

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