Surgical Device Therapy for Heart Failure in the Adult with Congenital Heart Disease - 25/11/13

Doi : 10.1016/j.hfc.2013.09.016

Venkatachalam Mulukutla, MD ^a,^⁎ , Wayne J. Franklin, MD ^a,^⁎ , Chet R. Villa, MD ^b, David Luís Simón Morales, MD ^c
^a Texas Children’s Hospital, Pediatric Cardiology, 6621 Fannin Street, Houston, TX 77030, USA
^b Cincinnati Children’s Hospital Medical Center, Pediatric Cardiology, 3333 Burnet Avenue, Cincinnati, OH 45229, USA
^c Cincinnati Children’s Hospital Medical Center, Cardiovascular Surgery, 3333 Burnet Avenue, Cincinnati, OH 45229, USA

^∗Corresponding authors.

Résumé

Individuals with adult congenital heart disease (ACHD) are at a great risk for heart failure, and the underlying anatomic features are important predictors of heart failure. As the ACHD population grows older, multiple events, including years of an altered physiology, the neurohormonal cascade, and many still unknown, culminate in ventricular failure. Surgical device therapy is an effective method in supporting patients with heart failure. Ventricular assist devices have been used with success in bridging ACHD patients to heart transplantation or destination therapy.

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Keywords : Adult congenital heart disease, Ventricular assist device, Heart failure, Systemic right ventricle