Left Ventricular Assist Device Implantation With Total Cavopulmonary Connection for Arrested Heart.

Lymphocytic fulminant myocarditis results in severe myocardial damage that is irreversible in some patients. In these patients, mechanical circulatory support, as the main treatment, is difficult. We describe a patient with a myocarditis-associated arrested heart who underwent successful left ventricular assist device implantation and extracardiac total cavopulmonary connection (EC-TCPC). EC-TCPC was chosen after fluid dynamics simulation was performed using computational fluid dynamics analysis of blood flow. In the analysis, EC-TCPC was compared with the Glenn procedure and the classic Fontan procedure; EC-TCPC had the best performance.