A 9-month-old infant presented with transposition of the great arteries and intact ventricular septum. His left ventricle was thin and deconditioned. He underwent an arterial switch operation and was electively supported with a left ventricular assist device for 8 days. He subsequently made a full recovery. Elective use of left ventricular support allows an extension of the age limit for the arterial switch operation.
KangNde LevalMRElliottMTsangVKocyildirimESehicI. Extending the boundaries of the primary arterial switch operation in patients with transposition of the great arteries and intact ventricular septum. Circulation2004; 110(Suppl II): 123–127.
2.
MoonsPGewilligMSluysmansTVerhaarenHViartPMassinM. Long term outcome up to 30 years after the Mustard or Senning operation: a nationwide multicentre study in Belgium. Heart2004; 90: 307–313.
3.
BoutinCWernovskyGSandersSPJonasRACastanedaARColanSD. Rapid two-stage arterial switch operation. Evaluation of left ventricular systolic mechanics late after an acute pressure overload stimulus in infancy. Circulation1994; 90: 1294–1303.
4.
MeeRBHaradaY. Retraining of the left ventricle with a left ventricular assist device (Bio-Medicus) after the arterial switch operation. J Thorac Cardiovasc Surg1991; 101: 171–173.
5.
ThuysCAMullalyRJHortonSBO’ConnorEBCochraneADBrizardCP. Centrifugal ventricular assist in children under 6 kg. Eur J Cardiothorac Surg1998; 13: 130–134.
