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Ann Thorac Surg 2008;86:1018-1020. doi:10.1016/j.athoracsur.2008.03.003
© 2008 The Society of Thoracic Surgeons
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René Prêtre
Michele Genoni
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Right arrow Congenital - cyanotic
Right arrow Mechanical Circulatory Assistance

Case Reports

Right-Sided Univentricular Cardiac Assistance in a Failing Fontan Circulation

René Prêtre, MDa,*, Achim Häussler, MDa, Dominique Bettex, MDb, Michele Genoni, MDa

a Cardiovascular Surgery, Department of Surgery, University Hospital, Zürich, Switzerland
b Cardiac Anesthesia, Department of Surgery, University Hospital, Zürich, Switzerland

Accepted for publication March 3, 2008.

* Address correspondence to Dr Prêtre, Department of Surgery, University Hospital, Rämistrasse 100, Zürich, 8006, Switzerland (Email: rene.pretre{at}kispi.uzh.ch).

Fontan patients are doomed to a circulatory failure and many of them will require a circulatory assistance as a bridge to transplantation. The univentricular heart with a total cavopulmonary connection presents a special challenge for the insertion of an assist device. We report a patient in multiple organ dysfunction and failure who was supported by right-sided univentricular assistance. Technically, a new chamber was created between both vena cava for implantation of the inflow cannula, and the extracardiac conduit was used to set the outflow cannula. The patient dramatically recovered and is currently in the best condition for heart transplantation.




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