EVAHEART 2 with double cuff tipless inflow cannula is suitable for long-term support atrial switch operation in transposition of great arteries.
Sawako FurukawaOsamu KinoshitaMasahiko AndoMinoru OnoPublished in: Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs (2023)
Implantation of continuous-flow left ventricular assist device in a narrow lumen is technically challenging to secure an optimal support. We experienced a patient with the transposition of the great arteries after the Senning procedure who was initially implanted with Jarvik 2000®. She presented with worsening heart failure symptoms 2 years after implanting Jarvik 2000®. We assumed that the inflow cannula was stuck in the highly developed trabeculae on the interventricular septum, which disturbed the VAD to maintain an expected support. After converting to the EVAHEART® 2, we successfully obtained an adequate inflow. We consider that the tipless cannula of EVAHEART® 2 is the most suitable when there is no sufficient room to place a conventional inflow cannula in the systemic ventricle.
Keyphrases
- respiratory failure
- extracorporeal membrane oxygenation
- positive airway pressure
- left ventricular assist device
- heart failure
- obstructive sleep apnea
- atrial fibrillation
- acute respiratory distress syndrome
- case report
- pulmonary hypertension
- cardiac resynchronization therapy
- sleep apnea
- minimally invasive
- left ventricular
- coronary artery
- blood flow
- sleep quality