Intra-aortic balloon counterpulsation in a patient with the failing Fontan circulation
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.(Accepted February 15 2006)
Key Words: Functionally univentricular repair; mechanical circulatory assistance; heart failure.
c1 Correspondence to: Dr. Ujjwal K. Chowdhury, M.Ch., Diplomate NB1 Additional Professor, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi – 110029. India. Tel: +26588700, +2658500, Ext. 4835; Fax: +26588641; E-mail: firstname.lastname@example.org