Left ventricular assist device implantation in a patient with congenitally corrected transposition of the great arteries

Igor D. Gregoric, Roman Kosir, Frank W. Smart, Gregory N. Messner, Vijay S. Patel, Saverio La Francesca, Roberto D. Cervera, O. H. Frazier

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Congenitally corrected transposition of the great arteries (ccTGA) is a rare anomaly characterized by atrioventricular and ventriculo-arterial discordance and several other malformations that eventually lead to heart failure. We describe the case of a 53-year-old woman with ccTGA and aortic insufficiency who was a candidate for heart transplantation due to end-stage congestive heart failure. Her condition deteriorated before a suitable donor heart could be found; therefore, we placed a left ventricular assist device in the right (systemic) ventricle. Concomitantly, we removed the aortic (systemic) valve, closed the aortic annulus with a bovine pericardial patch, and repaired the mitral valve. The patient recovered uneventfully and was discharged from the hospital 2 months postoperatively. She underwent cardiac transplantation approximately 6 months later and continued to do well after 18 months.

Original languageEnglish (US)
Pages (from-to)567-569
Number of pages3
JournalTexas Heart Institute Journal
Volume32
Issue number4
StatePublished - Dec 1 2005
Externally publishedYes

Keywords

  • Aortic valve
  • Heart assist device, left ventricular
  • Heart failure, congestive
  • Heart transplantation
  • Mitral valve repair
  • Transposition of the great vessels, congenitally corrected

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Gregoric, I. D., Kosir, R., Smart, F. W., Messner, G. N., Patel, V. S., La Francesca, S., Cervera, R. D., & Frazier, O. H. (2005). Left ventricular assist device implantation in a patient with congenitally corrected transposition of the great arteries. Texas Heart Institute Journal, 32(4), 567-569.