Hostname: page-component-8448b6f56d-qsmjn Total loading time: 0 Render date: 2024-04-23T08:29:13.060Z Has data issue: false hasContentIssue false
  • English
  • Français

Intra-aortic balloon counterpulsation in a patient with the failing Fontan circulation

Published online by Cambridge University Press:  22 December 2006

Ujjwal K. Chowdhury ,
Shyam S. Kothari  and
Ganapathy K. Subramaniam
Ujjwal K. Chowdhury
Affiliation:
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India
Shyam S. Kothari
Affiliation:
Department of Cardiology, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India
Ganapathy K. Subramaniam
Affiliation:
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India
Get access Rights & Permissions [Opens in a new window]

Abstract

We report a 23-year-old patient undergoing functionally univentricular repair who developed cardiac failure due primarily to systemic ventricular dysfunction. The failing Fontan circulation was successfully re-established using intra-aortic balloon counterpulsation. Aortic counterpulsation facilitates recovery of systemic ventricular function, and appears to be a reasonable alternative in select instances of cardiac failure in patients with the Fontan circulation.

Keywords

Functionally univentricular repairmechanical circulatory assistanceheart failure
Type
Brief Report
Information
Cardiology in the Young , Volume 17 , Issue 1 , February 2007 , pp. 102 - 104
Copyright
2007 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

del Nido PJ, Swan PR, Benson LN, et al. Successful use of intraaortic balloon pumping in a 2- kilogram infant. Ann Thorac Surg 1988; 46: 574–576.Google Scholar
Nawa S, Sugawara E, Murakami T, Senoo Y, Teramoto S, Morita K. Efficacy of intra-aortic balloon pumping for failing Fontan circulation. Chest 1988; 93: 599–603.Google Scholar
Park JK, Hsu KT, Gersony WM. Intra-aortic balloon pump management of refractory congestive heart failure in children. Pediatr Cardiol 1993; 14: 19–22.Google Scholar
Akomea-Agyin C, Kejriwal NK, Franks R, Booker PD, Pozzi M. Intra-aortic balloon pumping in children. Ann Thorac Surg 1999; 67: 1415–1420.Google Scholar
Pinkney KA, Minich LL, Tani LY, et al. Current results with intra-aortic balloon pumping in infants and children. Ann Thorac Surg 2002; 13: 887–891.Google Scholar
Gentles TL, Mayer JE. Gauvreau K, et al. Fontan operation in five hundred consecutive patients: Factors influencing early and late outcome. J Thorac Cardiovasc Surg 1997; 114: 376–391.Google Scholar
Minich LL, Tani LY, McGough EC, Shaddy RE, Hawkins JA. A novel approach to pediatric intraaortic balloon pump timing using M-mode echocardiography. Am J Cardiol 1997; 80: 367–369.Google Scholar
Gaines WE, Pierce WS, Prophet GA, Holtsman K. Pulmonary circulatory support: A quantitative comparison of four methods. J Thorac Cardiovasc Surg 1984; 88: 958–964.Google Scholar