A case of truncus arteriosus with severe heart failure and pulmonary stenosis: bridge to transplant candidacy with surgical correction and a ventricular-assist device

Tanimoto, Kazuki; Kido, Takashi; Taira, Masaki; Watanabe, Takuji; Narita, Jun; Ishida, Hidekazu; Ishii, Ryo; Ueno, Takayoshi; Miyagawa, Shigeru

doi:https://doi.org/10.1007/s10047-024-01456-w

A case of truncus arteriosus with severe heart failure and pulmonary stenosis: bridge to transplant candidacy with surgical correction and a ventricular-assist device

Tanimoto, Kazuki; Kido, Takashi; Taira, Masaki et al.

Journal of Artificial Organs, 2024, 28(1), 90-94

アクセス数:1,160件（2025-07-03 23:00 集計）

固定URL: https://hdl.handle.net/11094/98097

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タイトル	A case of truncus arteriosus with severe heart failure and pulmonary stenosis: bridge to transplant candidacy with surgical correction and a ventricular-assist device
著者	著者名 Tanimoto, Kazuki
	NRID 1000070789586 1000070789586 researchmap permalink t-kido t-kido Scopus Author ID 57189439562 57189439562 著者名 Kido, Takashi
	NRID 1000090624651 1000090624651 Scopus Author ID 57188551084 57188551084 著者名 Taira, Masaki
	NRID 1000080838582 1000080838582 researchmap permalink takuji-watanabe takuji-watanabe Scopus Author ID 57209196810 57209196810 著者名 Watanabe, Takuji
	NRID 1000070467562 1000070467562 researchmap permalink J-narita J-narita Scopus Author ID 36993204400 36993204400 著者名 Narita, Jun
	NRID 1000050467552 1000050467552 researchmap permalink researcher_cardio researcher_cardio Scopus Author ID 36863872000 36863872000 著者名 Ishida, Hidekazu
	NRID 1000090794008 1000090794008 researchmap permalink iryo-0918 iryo-0918 Scopus Author ID 56017974100 56017974100 著者名 Ishii, Ryo
	NRID 1000060437316 1000060437316 researchmap permalink takayoshi-ueno takayoshi-ueno Scopus Author ID 8137931400 8137931400 著者名 Ueno, Takayoshi
	NRID 1000070544237 1000070544237 ORCID 0000-0003-0015-6569 0000-0003-0015-6569 researchmap permalink s-miyagawa3154 s-miyagawa3154 Scopus Author ID 55560624700 55560624700 著者名 Miyagawa, Shigeru
キーワード等	Congenital heart disease
	Pulmonary stenosis
	Truncus arteriosus
	Ventricular-assist device
内容	The version of record of this article, first published in Journal of Artificial Organs, is available online at Publisher’s website: https://doi.org/10.1007/s10047-024-01456-w.
抄録	Ventricular-assist device therapy for small patients with congenital heart disease is challenging due to its complex anatomy and hemodynamics. We describe a 3-year-old patient with heart failure with truncus arteriosus in the palliative stage. The patient underwent palliative right ventricular outflow tract reconstruction following bilateral pulmonary artery banding. At 6 months of age, the patient developed severe truncal valve regurgitation and left ventricular dysfunction. Emergent truncal valve replacement with a mechanical valve was performed, but left ventricular dysfunction persisted. At 3 years of age, the patient developed acute progression of heart failure triggered by influenza infection. The patient was intubated and transferred to our center to determine the indication for heart transplantation. On the second day after admission, signs of multiorgan failure appeared. Emergent ventricular-assist device implantation for both ventricles was performed with truncal valve closure, ventricular septal defect closure, atrial septal defect closure, and re-right ventricular outflow tract reconstruction. The right ventricular-assist device was successfully removed on the seventh postoperative day. Due to the small pulmonary arteries, severe pulmonary stenosis persisted after ventricular-assist device implantation, but it gradually improved with multiple pulmonary angioplasties. The patient was registered in the Japanese organ transplant network and is awaiting a donor organ in a stable condition.
出版者	Springer
収録物名	Journal of Artificial Organs
巻(号)	28(1)
ページ	90-94
刊行年月	2024-07-15
言語	英語
ハンドルURL	https://hdl.handle.net/11094/98097
PISSN	14347229
eISSN	16190904
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1007/s10047-024-01456-w
アクセス権	open access
権利情報	This article is licensed under a Creative Commons Attribution 4.0 International License.
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCTERMS.bibliographicCitation	Journal of Artificial Organs. 2024, 28(1), p. 90-94
DC.title	A case of truncus arteriosus with severe heart failure and pulmonary stenosis: bridge to transplant candidacy with surgical correction and a ventricular-assist device
DC.creator	Tanimoto, Kazuki
	Kido, Takashi
	Taira, Masaki
	Watanabe, Takuji
	Narita, Jun
	Ishida, Hidekazu
	Ishii, Ryo
	Ueno, Takayoshi
	Miyagawa, Shigeru
DC.publisher	Springer
DC.language' scheme='DCTERMS.RFC1766	英語
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2024-07-15
DC.identifier	https://doi.org/10.1007/s10047-024-01456-w
DC.subject	Congenital heart disease
	Pulmonary stenosis
	Truncus arteriosus
	Ventricular-assist device
DC.description	The version of record of this article, first published in Journal of Artificial Organs, is available online at Publisher’s website: https://doi.org/10.1007/s10047-024-01456-w.
DCTERMS.abstract	Ventricular-assist device therapy for small patients with congenital heart disease is challenging due to its complex anatomy and hemodynamics. We describe a 3-year-old patient with heart failure with truncus arteriosus in the palliative stage. The patient underwent palliative right ventricular outflow tract reconstruction following bilateral pulmonary artery banding. At 6 months of age, the patient developed severe truncal valve regurgitation and left ventricular dysfunction. Emergent truncal valve replacement with a mechanical valve was performed, but left ventricular dysfunction persisted. At 3 years of age, the patient developed acute progression of heart failure triggered by influenza infection. The patient was intubated and transferred to our center to determine the indication for heart transplantation. On the second day after admission, signs of multiorgan failure appeared. Emergent ventricular-assist device implantation for both ventricles was performed with truncal valve closure, ventricular septal defect closure, atrial septal defect closure, and re-right ventricular outflow tract reconstruction. The right ventricular-assist device was successfully removed on the seventh postoperative day. Due to the small pulmonary arteries, severe pulmonary stenosis persisted after ventricular-assist device implantation, but it gradually improved with multiple pulmonary angioplasties. The patient was registered in the Japanese organ transplant network and is awaiting a donor organ in a stable condition.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	98097
citation_title	A case of truncus arteriosus with severe heart failure and pulmonary stenosis: bridge to transplant candidacy with surgical correction and a ventricular-assist device
citation_author	Tanimoto, Kazuki
	Kido, Takashi
	Taira, Masaki
	Watanabe, Takuji
	Narita, Jun
	Ishida, Hidekazu
	Ishii, Ryo
	Ueno, Takayoshi
	Miyagawa, Shigeru
citation_publisher	Springer
citation_language	英語
citation_date	2024-07-15
citation_journal_title	Journal of Artificial Organs
citation_volume	28
citation_issue	1
citation_firstpage	90
citation_lastpage	94
citation_doi	https://doi.org/10.1007/s10047-024-01456-w
citation_public_url	https://hdl.handle.net/11094/98097

A case of truncus arteriosus with severe heart failure and pulmonary stenosis: bridge to transplant candidacy with surgical correction and a ventricular-assist device

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