Vertical Ventricular Assist Device Placement to Systemic Right Ventricle for a Patient with Corrected Transposition of the Great Arteries and Mesocardia

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Long-term right ventricular assist device support for congenitally corrected transposition of the great arteries.

With congenitally corrected transposition of the great arteries, the right ventricle (RV) supports the systemic circulation. These patients have an increased risk of developing heart failure. Implantation of a ventricular assist device may be the only therapeutic option for patients who are not transplantation candidates. The technical aspects of implanting a mechanical device into the RV have ...

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Ventricular Assist Devices in Patients with Systemic Right Ventricular Failure due to Congenitally Corrected Transposition of the Great Arteries

Congenitally corrected transposition of the great arteries is increasingly recognized as an adult congenital heart problem. Although early atrial switch surgical repairs resulted in improved overall survival, these patients are further predisposed to systemic ventricular failure in their fourth and fifth decades of life. Early diagnosis and management of systemic ventricular dysfunction are oft...

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Adaptation of the systemic right ventricle in a congenitally corrected transposition of the great arteries.

A 50-year-old woman with a history of mild exertional dyspnea for several years was consulted for preoperative cardiovascular evaluation as a result of an abnormal ECG. Physical examination revealed a blood pressure of 154/90 mm Hg and a regular pulse rate of 84 beats per minute. Cardiac auscultation noted a grade 2/6 systolic murmur at the apex and the lower left sternal border. No peripheral ...

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Ventricular assist device outflow graft in congenitally corrected transposition of great arteries - a surgical challenge

Congenitally corrected transposition of the great arteries is a complex congenital cardiac anomaly with a wide spectrum of morphologic features and clinical profiles. Most patients are diagnosed late in their life, undergoes surgical repairs, eventually leading to systemic ventricular failure needing heart transplant or mechanical circulatory assistance. As, aorta is located anterior to and lef...

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Assessment of systemic right ventricular function in adult overweight and obese patients with congenitally corrected transposition of the great arteries.

BACKGROUND In congenitally corrected transposition of the great arteries the right ventricle (RV) supports systemic circulation, and patients are prone to develop heart failure over time. Chronic volume overload secondary to obesity may contribute to premature dysfunction of the systemic RV. AIM The aim of our study was to assess the systemic RV function in overweight/obese adult patients wit...

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ژورنال

عنوان ژورنال: The Journal of Heart and Lung Transplantation

سال: 2021

ISSN: 1053-2498

DOI: 10.1016/j.healun.2021.01.2084