HeartMate 3 in a ccTGA patient

Abstract

A 49-year-old female with congenitally corrected (or levo-) transposition of the great arteries complicated by nonischemic cardiomyopathy presented for worsening heart failure despite guideline-directed medical therapy and was found to be in cardiogenic shock. She successfully underwent ventricular assist device placement with a HeartMate III to her systemic right ventricle as a bridge to transplantation.

Pitfalls and Possibilities of Ventricular Assist Device Support in Congenitally Corrected Transposition of the Great Arteries in Children

“…The geometry, morphology, and function of the systemic RV and its relation to the anterior aorta can pose challenges in regards to the inflow cannula placement, outflow graft lie and anastomosis to the aorta, and changes in position with chest closure. 14 These anatomic factors may be sufficient reasons to obtain thorough cross-sectional imaging ( i.e. , CT) to assist with presurgical planning in the addition of intraoperative TEE and epicardial echocardiography.…”

Use of HeartMate 3 ventricular assist device in second redo sternotomy for congenitally corrected transposition of the great arteries with dextrocardia and situs solitus

“…There are several published reports describing the use of a VAD in patients with ccTGA. 2 , 3 In regards to the specific use of HM3, there have been 2 reports in patients with ccTGA without dextrocardia 4 , 5 and 1 case with dextrocardia, 6 but none with redo sternotomy.…”