Systemic Ventricular Assistance Using a HeartMate 2 Device as Bridge to Transplant in a Congenitally Corrected Transposition of the Great Vessels

Abstract

Due to continuous advances in medical and surgical treatment, the large number of adult patients with congenital heart diseases is increasing; with the passing of time, these conditions develop several complications including advanced heart failure, which may require therapeutic approaches such as cardiac transplant and, in certain cases, the implantation of a circulatory support device, both as a bridge to transplant or as a definitive treatment. This report describes a case that shows the problem of the adult population with congenital heart disease. We present a 41 year-old male patient with congenitally corrected transposition of the great vessels who developed advanced heart failure of the morphologically right ventricle, which supports the systemic circulation. Due to several decompensations under medical treatment, including the home use of inotropes, a circulatory support device was implanted as
an early bridge to transplant. After several postoperative complications, the patient was transferred to a rehabilitation center to wait for transplantation.