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Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
Published on: May 11, 2018
Creative surgical solution for mechanical circulatory support in adult congenital heart disease: case report
Maria Grandinetti1,2, Alessandro Olimpieri1,2, Rachele Adorisio3
1Department of Cardiovascular Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Agostino Gemelli 8, 00168 Rome, Italy.
Insights
Adults with congenital heart disease (CHD) face heart failure challenges. Ventricular assist devices offer an alternative mechanical circulatory support option for these complex cases.
Area of Science:
- Cardiology
- Adult Congenital Heart Disease (ACHD)
- Mechanical Circulatory Support
Background:
- Improved medical and surgical care allows more patients with congenital heart disease (CHD) to survive into adulthood.
- Heart failure is a common and significant long-term complication for adults with congenital heart disease (ACHD).
- Managing ACHD requires addressing the consequences of previous palliative or corrective surgeries.
Background:
Advances in surgical and medical care have led to an increasing number of patients with congenital heart disease (CHD) surviving into adulthood. As a result, we must address the long-term consequences of palliative or corrective surgery, with heart failure being one of the most common and challenging issues faced by adult CHD (ACHD) surgeons.
Case Summary:
We present a multidisciplinary perspective on the use of ventricular assist device support in a young patient with ACHD.
Discussion:
While heart transplantation remains the gold-standard treatment for end-stage heart failure, the shortage of donors necessitates alternative solutions such as mechanical circulatory support. Despite significant advancements in this field, surgical interventions in ACHD patients remain complex and are not without complications.

