Central-Approach Surgical Repair of Coarctation of the Aorta with a Back-up Left Ventricular Assist Device for an Infant Presenting with Severe Left Ventricular Dysfunction.
10.5090/kjtcs.2015.48.6.407
- Author:
Tae Hoon KIM
1
;
Yu Rim SHIN
;
Young Sam KIM
;
Do Jung KIM
;
Hyohyun KIM
;
Hong Ju SHIN
;
Aung Thein HTUT
;
Han Ki PARK
Author Information
1. Division of Cardiovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Congenital Heart Disease Center, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Korea. hank@yuhs.ac
- Publication Type:Case Report
- Keywords:
Coarctation;
Infant;
Heart failure;
Ventricular assist device
- MeSH:
Aorta, Thoracic;
Aortic Coarctation*;
Cardiopulmonary Bypass;
Heart Failure;
Heart-Assist Devices*;
Humans;
Infant*;
Mitral Valve Insufficiency;
Perfusion;
Sternotomy;
Ventricular Dysfunction, Left*;
Ventricular Function, Left
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2015;48(6):407-410
- CountryRepublic of Korea
- Language:English
-
Abstract:
A two-month-old infant presented with coarctation of the aorta, severe left ventricular dysfunction, and moderate to severe mitral regurgitation. Through median sternotomy, the aortic arch was repaired under cardiopulmonary bypass and regional cerebral perfusion. The patient was postoperatively supported with a left ventricular assist device for five days. Left ventricular function gradually improved, eventually recovering with the concomitant regression of mitral regurgitation. Prompt surgical repair of coarctation of the aorta is indicated for patients with severe left ventricular dysfunction. A central approach for surgical repair with a back-up left ventricular assist device is a safe and effective treatment strategy for these patients.
