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Durable Mechanical Circulatory Support in Adult Congenital Heart Disease: Reviewing Clinical Considerations and Experience

Year: 2022
Type: article
Abstract: Adults with congenital heart disease (ACHD) patients are one of the fastest growing populations in cardiology, and heart failure (HF) is the most common cause of morbidity and mortality amongst them. The need for advanced HF therapies in ACHD patients stands to grow substantially. The anatomic considerations for placing durable mechanical circulatory support (MCS) devices in ACHD patients often require specialized approaches. Despite this, increasing evidence suggests that durable MCS can be implanted safely with favorable outcomes in ACHD patients. Expansion of MCS use in ACHD patients is imperative to improve their clinical outcomes. Knowledge of ACHD-specific anatomic and physiologic considerations is crucial to HF programs' success as they work to provide care to this growing population.
DOI: 10.3390/jcm11113200
Authors: Joshua Saef, Robert Montgomery, Ari Cedars, Wai H. Wilson Tang, Joseph W. Rossano, Katsuhide Maeda, Yuli Y. Kim, Sumeet S. Vaikunth
Institutions: Children's Hospital of Philadelphia, University of Pennsylvania, Cleveland Clinic, Johns Hopkins University, Johns Hopkins Medicine, Johns Hopkins Hospital
Language: English
Open Access status: gold
Estimated APC paid: $2,513
OpenAlex ID: W4281649116
FWCI: 0.743
Cites: 61
Cited by: 13
Related to: 10