HeartMate 3 implantation for dextro-transposition of the great arteries after Mustard procedure: A technique of papillary muscle repositioning

Albert C Pai; Anthony L Panos; Marco Ricci

doi:10.1111/jocs.16970

HeartMate 3 implantation for dextro-transposition of the great arteries after Mustard procedure: A technique of papillary muscle repositioning

J Card Surg. 2022 Dec;37(12):5649-5652. doi: 10.1111/jocs.16970. Epub 2022 Oct 2.

Authors

Albert C Pai¹, Anthony L Panos¹, Marco Ricci^{1

2}

Affiliations

¹ Department of Cardiothoracic Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
² Division of Pediatric Cardiac Surgery, Stead Family Children's Hospital, Iowa City, Iowa, USA.

Abstract

Systemic right ventricular failure after physiologic repair for dextro-transposition of the great arteries can be managed with durable mechanical circulatory support; however, the right ventricular morphology, such as intervening papillary muscles, presents challenges to inflow cannula positioning. Papillary muscle repositioning is an innovative technique to circumvent obstructive anatomy.

Keywords: HeartMate 3; Mustard procedure; papillary muscle repositioning.

MeSH terms

Arteries
Heart Failure* / surgery
Humans
Mustard Plant
Papillary Muscles / surgery
Transposition of Great Vessels* / surgery