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VAD placement proves successful in an adult with d-TGA and a prior Mustard procedure.
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Adults with congenital heart defects and congestive heart failure are a challenging population because of their complex anatomy, prior surgical palliation, and hemodynamic status. We report one of the first cases of a ventricular assist device placement in a patient with decompensated heart failure and a history of D-transposition of the great vessels who had a prior atrial switch operation.
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Agusala et al. (2010) studied this question. Ventricular assist device placement was successfully performed in an adult with decompensated heart failure, D-transposition of the great arteries, and a prior Mustard atrial switch operation.
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