Korean J Thorac Cardiovasc Surg.  2015 Dec;48(6):407-410. 10.5090/kjtcs.2015.48.6.407.

Central-Approach Surgical Repair of Coarctation of the Aorta with a Back-up Left Ventricular Assist Device for an Infant Presenting with Severe Left Ventricular Dysfunction

• Kim TH
• Shin YR
• Kim YS
• Kim DJ
• Kim H
• Shin HJ
• Htut AT
• Park HK

• KMID: 2382298
• DOI: http://doi.org/10.5090/kjtcs.2015.48.6.407

Abstract

A two-month-old infant presented with coarctation of the aorta, severe left ventricular dysfunction, and moderate to severe mitral regurgitation. Through median sternotomy, the aortic arch was repaired under cardiopulmonary bypass and regional cerebral perfusion. The patient was postoperatively supported with a left ventricular assist device for five days. Left ventricular function gradually improved, eventually recovering with the concomitant regression of mitral regurgitation. Prompt surgical repair of coarctation of the aorta is indicated for patients with severe left ventricular dysfunction. A central approach for surgical repair with a back-up left ventricular assist device is a safe and effective treatment strategy for these patients.

Keyword

Coarctation; Infant; Heart failure; Ventricular assist device

MeSH Terms

Aorta, Thoracic
Aortic Coarctation*
Cardiopulmonary Bypass
Heart Failure
Heart-Assist Devices*
Humans
Infant*
Mitral Valve Insufficiency
Perfusion
Sternotomy
Ventricular Dysfunction, Left*
Ventricular Function, Left