Left ventricular assist device placement in the setting of congenital VSD

J Card Surg. 2022 Aug;37(8):2423-2425. doi: 10.1111/jocs.16572. Epub 2022 Apr 29.

Abstract

We describe the management of a 59-year-old female with an unrepaired congenital ventricular septal defect (VSD) and end stage nonischemic cardiomyopathy necessitating placement of a left ventricular assist device (LVAD) as a destination treatment. Simultaneous repair of the VSD was performed during the LVAD implantation under a beating heart. The patient remained hemodynamically stable throughout her postoperative course, without signs of hypoxia or cyanosis. Following discharge, outpatient surveillance echocardiogram demonstrated successful VSD closure and no residual shunt.

Keywords: LVAD; VSD; left ventricular assist device; ventricular septal defect.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Catheterization
  • Echocardiography
  • Female
  • Heart Septal Defects, Ventricular* / diagnostic imaging
  • Heart Septal Defects, Ventricular* / surgery
  • Heart-Assist Devices*
  • Humans
  • Middle Aged
  • Thoracic Surgical Procedures*
  • Treatment Outcome