Insertion of the total artificial heart in the Fontan circulation

Robert D.B. Jaquiss, Ronald K. Woods

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)134-140
Number of pages7
JournalAnnals of Cardiothoracic Surgery
Volume9
Issue number2
DOIs
StatePublished - Mar 1 2020

Keywords

  • Failing Fontan
  • Fontan takedown
  • Total artificial heart (TAH)
  • Univentricular support

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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