Abstract
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.
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Appendix
Appendix
See Fig. 4.
The transition of the BNP levels. The BNP levels significantly increased after the AVR and decreased after the conversion to EVAHEART 2
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Furukawa, S., Kinoshita, O., Ando, M. et al. EVAHEART 2 with double cuff tipless inflow cannula is suitable for long-term support atrial switch operation in transposition of great arteries. J Artif Organs 26, 326–329 (2023). https://doi.org/10.1007/s10047-023-01380-5
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DOI: https://doi.org/10.1007/s10047-023-01380-5