Nakamura M, Imamura T, Kuwahara H, Nakagaito M, Yokoyama S, Doi T, Fukahara K, Yoshimura N, Kinugawa K.Int Heart J. 2020 May 30;61(3):616-619. doi: 10.1536/ihj.19-670. Epub 2020 May 15.PMID: 32418970 Free article.
We experienced a 33-year-old patient with D-looped transposition of the great arteries (D-TGA) and a history of Senning operation who was referred to our institute with cardiogenic shock and subsequently underwent urgent paracorporeal ventricular assist device (VAD) implantation, which was a first in Japan, that was eventually converted to a durable VAD. Central venous pressure was maintained relatively high to obtain VAD filling and recover end-organ dysfunction, given the migration of the inflow cannula due to rich trabeculae carneae of the anatomical right ventricle (systemic ventricle in this case).