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IATROGENIC VENTRICULAR SEPTAL DEFECT DURING RIGHT VENTRICULAR ASSIST DEVICE INSERTION IN CONGENITALLY CORRECTED TRANSPOSITION OF THE GREAT ARTERIES
  • Mimi Deng,
  • Aamir Jeewa,
  • Osami Honjo
Mimi Deng
The Hospital for Sick Children

Corresponding Author:[email protected]

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Aamir Jeewa
The Hospital for Sick Children
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Osami Honjo
The Hospital for Sick Children
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Abstract

This case report describes the management of a large iatrogenic ventricular septal defect (VSD) created by the coring device during systemic ventricular assist device (RVAD) insertion in a 16 year-old patient with congenitally corrected transposition of the great arteries. The VSD was closed by bovine pericardial patch and the ventriculotomy was extended laterally to relocate the VAD sewing ring. After RVAD implantation, patient initially remained cyanotic, potentially due to a tiny VSD patch leak with right to left shunting. Hypoxia was successfully corrected by rescue nitric oxide infusion and patient was bridged to transplant after 91 days.
22 Dec 2021Submitted to Journal of Cardiac Surgery
23 Dec 2021Submission Checks Completed
23 Dec 2021Assigned to Editor
23 Dec 2021Reviewer(s) Assigned
07 Jan 2022Review(s) Completed, Editorial Evaluation Pending
08 Jan 2022Editorial Decision: Revise Major
14 Jan 20221st Revision Received
17 Jan 2022Submission Checks Completed
17 Jan 2022Assigned to Editor
17 Jan 2022Reviewer(s) Assigned
18 Jan 2022Review(s) Completed, Editorial Evaluation Pending
18 Jan 2022Editorial Decision: Accept
27 Jan 2022Published in Journal of Cardiac Surgery. 10.1111/jocs.16277