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Right-sided univentricular cardiac assistance in a failing Fontan circulation


Prêtre, René; Häussler, A; Bettex, D; Genoni, M (2008). Right-sided univentricular cardiac assistance in a failing Fontan circulation. Annals of Thoracic Surgery, 86(3):1018-1020.

Abstract

Fontan patients are doomed to a circulatory failure and many of them will require a circulatory assistance as a bridge to transplantation. The univentricular heart with a total cavopulmonary connection presents a special challenge for the insertion of an assist device. We report a patient in multiple organ dysfunction and failure who was supported by right-sided univentricular assistance. Technically, a new chamber was created between both vena cava for implantation of the inflow cannula, and the extracardiac conduit was used to set the outflow cannula. The patient dramatically recovered and is currently in the best condition for heart transplantation.

Abstract

Fontan patients are doomed to a circulatory failure and many of them will require a circulatory assistance as a bridge to transplantation. The univentricular heart with a total cavopulmonary connection presents a special challenge for the insertion of an assist device. We report a patient in multiple organ dysfunction and failure who was supported by right-sided univentricular assistance. Technically, a new chamber was created between both vena cava for implantation of the inflow cannula, and the extracardiac conduit was used to set the outflow cannula. The patient dramatically recovered and is currently in the best condition for heart transplantation.

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33 citations in Web of Science®
43 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Children's Hospital Zurich > Clinic for Surgery
04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiovascular Surgery
04 Faculty of Medicine > University Hospital Zurich > Institute of Anesthesiology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:September 2008
Deposited On:12 Nov 2008 08:31
Last Modified:05 Apr 2016 12:33
Publisher:Elsevier
ISSN:0003-4975
Publisher DOI:https://doi.org/10.1016/j.athoracsur.2008.03.003
PubMed ID:18721610

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