Pre-Operative Planning to Mitigate Risk in Complex Single Ventricular Assist Devices
نویسندگان
چکیده
IntroductionInfants with single ventricle (SV) anatomy are a high-risk group for ventricular assist device (VAD) support. Hybrid stage 1 palliation can be utilized to successfully bridge SV patients transplantation, such as in the setting of atrioventricular valve regurgitation (AVVR) which precludes long-term palliation. Our case highlights how comprehensive pre-procedural planning mitigate future risk VAD implantation.Case ReportA neonate unbalanced right-dominant canal presented severe AVVR and acute kidney injury (AKI) precluding traditional She underwent hybrid transplant. A 6 mm expandable PTFE graft was anastomosed pulmonary artery (PA); ductal stenting performed through then left situ. stabilized following initial palliation, but after 10 weeks developed progressive dysfunction AKI (Figure 1). PediMag continuous flow inserted off bypass using previous arterial outflow right atrial inflow cannula 2). Renal function recovered patient is awaiting transplant stable hemodynamics.SummaryAnastomosing PA during enabled placement an infant AKI. Detailed pre-operative at time infants potential support needs may beneficial part strategy avoid early when systemic output adequate while decreasing subsequent operative insertion. Infants implantation. hemodynamics. Anastomosing View Large Image Figure ViewerDownload Hi-res image Download (PPT)
منابع مشابه
Pre-Operative Right Ventricular Dysfunction Is Associated With Gastrointestinal Bleeding in Patients Supported With Continuous-Flow Left Ventricular Assist Devices.
OBJECTIVES This study sought to determine whether severe right ventricular (RV) dysfunction in the pre-operative setting is associated with an increased risk of gastrointestinal bleeding (GIB) post-left ventricular assist device (LVAD). BACKGROUND GIB is a significant complication in patients supported with continuous-flow LVADs. The impact of RV dysfunction on the risk of GIB has not been in...
متن کاملRight ventricular functional analysis utilizing first pass radionuclide angiography for pre-operative ventricular assist device planning: a multi-modality comparison
BACKGROUND Advanced heart failure treated with a left ventricular assist device is associated with a higher risk of right heart failure. Many advanced heart failures patients are treated with an ICD, a relative contraindication to MRI, prior to assist device placement. Given this limitation, left and right ventricular function for patients with an ICD is calculated using radionuclide angiograph...
متن کاملPediatric ventricular assist devices.
The field of pediatric mechanical circulatory support with ventricular assist devices has lagged significantly behind that of adult patients. However, there is increasing attention on the emerging field of pediatric ventricular assist device support. In this review, part of the Pediatric Cardiac Intensive Care Society/Extracorporeal Life Support Organization Joint Consensus Statement on Mechani...
متن کاملVentricular assist devices in pediatrics
The implantation of a mechanical circulatory device for end-stage ventricular failure is a possible therapeutic approach in adult and pediatric cardiac surgery and cardiology. The aim of this article is to present mechanical circulatory assist devices used in infants and children with special emphasis on extracorporeal membrane oxygenation, Berlin Heart assist device, centrifugal pump and Medos...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Journal of Heart and Lung Transplantation
سال: 2022
ISSN: ['1053-2498', '1557-3117']
DOI: https://doi.org/10.1016/j.healun.2022.01.1325