Publications by authors named "T Lena"
Current Understanding and Future Directions of Transcatheter Devices to Assist Failing Fontan.
J Soc Cardiovasc Angiogr Interv
April 2024
Article Synopsis
- The Fontan operation is the preferred surgical treatment for patients with univentricular physiology, but it is only a temporary solution that leads to complications as they reach adulthood.
- These patients often face severe health issues, such as liver failure and arrhythmias, and heart transplantation is the ideal treatment, although it is frequently delayed and complicated by donor shortages.
- Mechanical circulatory support options are emerging as potential solutions, with ongoing research into intravascular pumps, but they currently require high-risk surgeries and are still experimental.
A 45 year old male obese patient with a previous history of repaired congenital heart disease developed worsening heart failure making heart transplantation listing mandatory. Unfortunately, due to his anthropometric measures, the search for a suitable brain-dead donor was unsuccessful. For this reason, he accepted to be enrolled in the controlled donation after circulatory death (cDCD) program.
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