Ventricular Assist Device Therapy and Fontan: A Story of Supply and Demand

Chet R Villa; Tarek Alsaied; David L S Morales

doi:10.1053/j.pcsu.2020.02.007

Ventricular Assist Device Therapy and Fontan: A Story of Supply and Demand

Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2020:23:62-68. doi: 10.1053/j.pcsu.2020.02.007.

Authors

Chet R Villa¹, Tarek Alsaied¹, David L S Morales²

Affiliations

¹ The Heart Institute, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
² The Heart Institute, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio. Electronic address: David.morales@cchmc.org.

PMID: 32354549
DOI: 10.1053/j.pcsu.2020.02.007

Abstract

The last 10 years have seen an increase in the number of Fontan patients with heart failure. There has been a coincident rapid evolution in the field of pediatric and congenital heart disease ventricular assist device therapy. Herein, we describe the existing body of literature regarding the use of ventricular assist device therapy in the Fontan circulation as well as the current approach to clinical decision-making and device implantation within the field.

Keywords: Congenital heart disease; Fontan; Pediatrics; Ventricular assist device.

Publication types

Review

MeSH terms

Child
Decision Making
Fontan Procedure*
Heart Failure / surgery*
Heart-Assist Devices*
Humans