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Fenestrated Fontan-like circulation under durable left-ventricular assist device support in fulminant myocarditis

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  • Artificial Heart (Clinical)
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Abstract

Fulminant myocarditis is a fatal development from profound biventricular heart failure and often requires both right- and left-ventricular assistance to maintain hemodynamics, even at the risk of increased mortality and morbidity. Here, we present a 42-year-old female with profound biventricular failure due to fulminant myocarditis, resolved by an isolated durable left-ventricular assist device support under a fenestrated, Fontan-like circulation and managed low-pulmonary vascular resistance.

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Acknowledgements

The authors would like to thank Dr. Bryan J. Mathis of the International Medical Center, University of Tsukuba Hospital, for language revision.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka-shi, Saitama, 350-1298, Japan

    Chiho Tokunaga, Atsushi Iguchi, Hiroyuki Nakajima, Jun Hayashi, Akitoshi Takazawa, Masatoshi Akiyama & Akihiro Yoshitake

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  1. Chiho Tokunaga
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  2. Atsushi Iguchi
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  3. Hiroyuki Nakajima
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  4. Jun Hayashi
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  5. Akitoshi Takazawa
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  6. Masatoshi Akiyama
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  7. Akihiro Yoshitake
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All authors have contributed to and approved the manuscript.

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Correspondence to Chiho Tokunaga or Atsushi Iguchi.

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The requirement for informed consent was waived owing to the retrospective nature of the study.

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Tokunaga, C., Iguchi, A., Nakajima, H. et al. Fenestrated Fontan-like circulation under durable left-ventricular assist device support in fulminant myocarditis. J Artif Organs 26, 233–236 (2023). https://doi.org/10.1007/s10047-022-01357-w

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  • DOI: https://doi.org/10.1007/s10047-022-01357-w

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