Paracorporeal Ventricular Assist Device Implantation in a Patient with Transposition of the Great Arteries After Senning Operation

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).