TY - JOUR
T1 - Insertion of the total artificial heart in the Fontan circulation
AU - Jaquiss, Robert D.B.
AU - Woods, Ronald K.
N1 - Publisher Copyright:
© 2020 Annals of Cardiothoracic Surgery.
PY - 2020/3/1
Y1 - 2020/3/1
N2 - Though the Fontan circulation provides long-term palliation for patients with univentricular hearts, failure of the circulation may ensue, leaving heart transplantation as the only definitive treatment. For Fontan patients awaiting transplant, both "right-sided" and "left-sided" symptoms may be present and severe, hence, biventricular mechanical circulatory support may be indicated. This can be provided by implantation of the total artificial heart (TAH), a procedure which is performed slightly differently than in patients with biventricular hearts. In this article, the unique aspects of implantation of this device in a patient with a Fontan operation are reviewed, with specific attention to the most commonly encountered anatomic variants of importance to the implanting surgeon.
AB - Though the Fontan circulation provides long-term palliation for patients with univentricular hearts, failure of the circulation may ensue, leaving heart transplantation as the only definitive treatment. For Fontan patients awaiting transplant, both "right-sided" and "left-sided" symptoms may be present and severe, hence, biventricular mechanical circulatory support may be indicated. This can be provided by implantation of the total artificial heart (TAH), a procedure which is performed slightly differently than in patients with biventricular hearts. In this article, the unique aspects of implantation of this device in a patient with a Fontan operation are reviewed, with specific attention to the most commonly encountered anatomic variants of importance to the implanting surgeon.
KW - Failing Fontan
KW - Fontan takedown
KW - Total artificial heart (TAH)
KW - Univentricular support
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U2 - 10.21037/ACS.2020.03.11
DO - 10.21037/ACS.2020.03.11
M3 - Article
AN - SCOPUS:85087124557
SN - 2225-319X
VL - 9
SP - 134
EP - 140
JO - Annals of Cardiothoracic Surgery
JF - Annals of Cardiothoracic Surgery
IS - 2
ER -