{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T19:09:14Z","timestamp":1768590554571,"version":"3.49.0"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2021,8,15]],"date-time":"2021-08-15T00:00:00Z","timestamp":1628985600000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Due to improvement in the management of patients with congenital heart disease (CHD), the likelihood of their survival to adulthood is increasing. A relevant population suffers end-stage right ventricular failure (RVF) in their 3rd\u20134th decade of life. Hence, heart transplantation is still gold standard of treatment of end-stage heart failure, mechanical circulatory assistance has become a valuable tool in the bridging to heart transplant or definitive therapy. Use of implantable short-term or long-term devices is reported by others. However, within this clinical context, presence of significant tricuspid regurgitation (TR) or CHD is used as exclusion criteria for insertion of a percutaneous right ventricular circulatory support.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We described a 36-year-old patient diagnosed with Ebstein's anomaly and severe TR who is admitted to hospital due to RVF refractory to standard medical treatment. After case presentation to the heart team, an Impella RP device insertion was scheduled, in spite of the presence of TR or CHD after evaluation of pulmonary valve competency and 3D reconstruction with virtual device implantation. During support, the patient improved clinically and haemodynamically. Due to device displacement to the right ventricle, it was bedside explanted after 30\u2009days of support. After mechanical unloading during 30\u2009days patients\u2019 right ventricle recovered partially, permitting patient to improve his functional class.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Although TR and CHD are exclusion criteria for the implantation of the Impella RP device, we report clinical experience in patient with Ebstein's anomaly and severe TR supported with percutaneous device as bridge to heart transplantation during 30\u2009days.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytab269","type":"journal-article","created":{"date-parts":[[2021,8,15]],"date-time":"2021-08-15T18:31:08Z","timestamp":1629052268000},"source":"Crossref","is-referenced-by-count":5,"title":["Clinical use of percutaneous mechanical circulatory assistance in a patient with end-stage right-sided heart failure and massive tricuspid insufficiency due to congenital heart disease: first-in-the-world case report"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6873-4869","authenticated-orcid":false,"given":"Mario","family":"Garc\u00eda G\u00f3mez","sequence":"first","affiliation":[{"name":"Department of Cardiology, Hospital Clinico Universitario, Valladolid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6911-7480","authenticated-orcid":false,"given":"Aitor","family":"Uribarri","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Clinico Universitario, Valladolid, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Cardiovasculares (CIBERVC) , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0764-0839","authenticated-orcid":false,"given":"Jos\u00e9 Alberto","family":"San Rom\u00e1n Calvar","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Clinico Universitario, Valladolid, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Cardiovasculares (CIBERVC) , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Stepanenko","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Clinico Universitario, Valladolid, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Cardiovasculares (CIBERVC) , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,8,15]]},"reference":[{"key":"2022081608171540100_ytab269-B1","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1016\/j.ccl.2015.07.001","article-title":"Adult congenital heart disease: scope of the problem","volume":"33","author":"Mazor Dray","year":"2015","journal-title":"Cardiol Clin"},{"key":"2022081608171540100_ytab269-B2","doi-asserted-by":"crossref","first-page":"e578","DOI":"10.1161\/CIR.0000000000000560","article-title":"Evaluation and management of right-sided heart failure: a scientific statement from the American Heart Association","volume":"137","author":"Konstam","year":"2018","journal-title":"Circulation"},{"key":"2022081608171540100_ytab269-B3","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1002\/ejhf.478","article-title":"Contemporary management of acute right ventricular failure: a statement from the Heart Failure Association and the Working Group on Pulmonary Circulation and Right Ventricular Function of the European Society of Cardiology","volume":"18","author":"Harjola","year":"2016","journal-title":"Eur J Heart Fail"},{"key":"2022081608171540100_ytab269-B4","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/j.ccl.2012.03.007","article-title":"Percutaneous mechanical support for the failing right heart","volume":"30","author":"Goldstein","year":"2012","journal-title":"Cardiol Clin"},{"key":"2022081608171540100_ytab269-B5","doi-asserted-by":"crossref","DOI":"10.1016\/j.healun.2015.08.018","article-title":"Benefits of a novel percutaneous ventricular assist device for right heart failure: the prospective RECOVER RIGHT study of the Impella RP device","author":"Anderson","year":"2015","journal-title":"J Hear Lung Transplant"},{"key":"2022081608171540100_ytab269-B6","doi-asserted-by":"crossref","first-page":"1448","DOI":"10.1016\/j.healun.2018.08.001","article-title":"Outcomes of patients with right ventricular failure requiring short-term hemodynamic support with the Impella RP device","author":"Anderson","year":"2018","journal-title":"J Hear Lung Transplant"},{"key":"2022081608171540100_ytab269-B7","doi-asserted-by":"crossref","DOI":"10.1016\/j.healun.2014.02.028","article-title":"Short-term mechanical circulatory support for recovery from acute right ventricular failure: clinical outcomes","author":"Cheung","year":"2014","journal-title":"J Hear Lung Transplant"},{"key":"2022081608171540100_ytab269-B8","doi-asserted-by":"crossref","first-page":"2339","DOI":"10.1053\/j.jvca.2018.06.007","article-title":"Impella RP in the treatment of right ventricular failure: what we know and where we go","volume":"32","author":"Pieri","year":"2018","journal-title":"J Cardiothorac Vasc Anesth"}],"container-title":["European Heart Journal - Case 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