scholarly journals A Novel Hybrid Single Ventricular Assist Device (SVAD) Strategy for a Neonate with Ventricular Septal Defect, Aortic Arch Hypoplasia, and Biventricular Dysfunction

2021 ◽  
Vol 40 (4) ◽  
pp. S521
Author(s):  
M.S. Ploutz ◽  
L.J. May ◽  
D. Boucek ◽  
A. Lal ◽  
K. Molina ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Aortic Arch ◽  
Ventricular Assist Device ◽  
Septal Defect ◽  
Assist Device ◽  
Ventricular Assist ◽  
Aortic Arch Hypoplasia

scholarly journals IATROGENIC VENTRICULAR SEPTAL DEFECT DURING RIGHT VENTRICULAR ASSIST DEVICE INSERTION IN CONGENITALLY CORRECTED TRANSPOSITION OF THE GREAT ARTERIES

2021 ◽  
Author(s):  
Mimi Deng ◽  
Aamir Jeewa ◽  
Osami Honjo
Keyword(s):  
Ventricular Septal Defect ◽  
Ventricular Assist Device ◽  
Septal Defect ◽  
Pericardial Patch ◽  
Assist Device ◽  
Ventricular Assist ◽  
Bovine Pericardial Patch ◽  
Right Ventricular Assist Device ◽  
Congenitally Corrected Transposition ◽  
Corrected Transposition

This case report describes the management of a large iatrogenic ventricular septal defect (VSD) created by the coring device during systemic ventricular assist device (RVAD) insertion in a 16 year-old patient with congenitally corrected transposition of the great arteries. The VSD was closed by bovine pericardial patch and the ventriculotomy was extended laterally to relocate the VAD sewing ring. After RVAD implantation, patient initially remained cyanotic, potentially due to a tiny VSD patch leak with right to left shunting. Hypoxia was successfully corrected by rescue nitric oxide infusion and patient was bridged to transplant after 91 days.

Percutaneous Ventricular Assist Device and Extracorporeal Membrane Oxygenation Support in a Patient with Postinfarction Ventricular Septal Defect and Free Wall Rupture

2013 ◽  
Vol 16 (3) ◽  
pp. 150 ◽  
Author(s):  
Igor D. Gregoric ◽  
Tomaz Mesar ◽  
Biswajit Kar ◽  
Sriram Nathan ◽  
Rajko Radovancevic ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Extracorporeal Membrane Oxygenation ◽  
Ventricular Assist Device ◽  
Septal Defect ◽  
Ventricular Free Wall ◽  
Free Wall ◽  
Assist Device ◽  
Ventricular Assist ◽  
Free Wall Rupture ◽  
Postinfarction Ventricular Septal Defect

We describe the case of a 54-year-old woman with a postinfarction ventricular septal defect (VSD) and ventricular free wall rupture who was stabilized with a percutaneous ventricular assist device (pVAD) to allow for myocardial infarct stabilization. Following the rupture of the right ventricular free wall and cardiopulmonary arrest on hospital day 10, pVAD support was promptly converted to extracorporeal membrane oxygenation (ECMO) support for stabilization. After surgical repair was completed, pVAD support was continued for 4 days to allow recovery. The patient was discharged on postoperative day 11 and is alive and well 4 years later. Postinfarction VSD with free wall rupture may be salvaged with pVAD and ECMO support.

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