Heart Failure After Cavopulmonary Connection: Conversion to Biventricular Circulatory Support

Ryan R. Davies, Jodie L. Lantz, APN, Sara K. Mullowney, Ryan J. Butts, Timothy Pirolli, Robert D.B. Jaquiss, David Lawrence Sutcliffe

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Mechanical support of patients with superior cavopulmonary connection is challenging; multiple factors contribute to failure: elevated pulmonary vascular resistance, aortopulmonary collateral flow, venovenous collaterals, ventricular dysfunction, and atrioventricular valve regurgitation. We report 2 cases of conversion from a single ventricle circulation to biventricular mechanical support by reestablishing caval continuity. Both patients have demonstrated recovery of end-organ function and participation in rehabilitation. This method of support results in improved systemic venous pressures and pulmonary blood flow compared with systemic mechanical circulatory support with a cavopulmonary connection and transfers some of the complexity of the transplant to the ventricular assist device implant.

Original languageEnglish (US)
Pages (from-to)e185-e188
JournalAnnals of Thoracic Surgery
Volume112
Issue number3
DOIs
StatePublished - Sep 2021

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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