These cases demonstrate that long-term isolated LVAD support can be established in patients with CA regardless of adjunctive Fontan procedure. The key principles for successful isolated LVAD support include: (i) minimizing PVR; (ii) incremental adjustment of the LVAD pump speed; and (iii) proactive AVP. This approach enables the hospital discharge of patients who would otherwise require permanent hospitalization with BiVAD.
Komeyama et al. (Fri,) studied this question.