case_images: PMC10570445_01
case_images: CT-scan: ventricular septal defect (VSD) directly under the valvular plane, volume-loaded left and right ventricle (LV, RV).
case_images: fcvm-10-1211365-g001.jpg
case_images: PMC10570445_01_fcvm-10-1211365-g001.jpg
case_images: F1
case_images: Since dimensions were measured with 4.9 x 5 cm and its very close localization to the atrioventricular valve area (Figures 1, 2) not leaving a sufficient rim for placing either sutures or patch-sutures, the VSD was considered untreatable.
case_images: Transthoracic echocardiography atypical two-chamber view: ventricular septal defect (VSD), loaded left and right ventricle (LV, RV).
case_images: fcvm-10-1211365-g002.jpg
case_images: PMC10570445_01_fcvm-10-1211365-g002.jpg
case_images: F2
case_images: Since dimensions were measured with 4.9 x 5 cm and its very close localization to the atrioventricular valve area (Figures 1, 2) not leaving a sufficient rim for placing either sutures or patch-sutures, the VSD was considered untreatable.
case_images: (A) The Aeson TAH device, courtesy of CARMAT (SA, Velizy, France). (B) Chest x-ray of the patient after Aeson TAH implantation.
case_images: fcvm-10-1211365-g003.jpg
case_images: PMC10570445_01_fcvm-10-1211365-g003.jpg
case_images: F3
case_images: The Aeson device, mounted with four biological valves and two outflow conduits, was attached to the atrial interface (Figure 3).
case_images: Timeline.
case_images: fcvm-10-1211365-g004.jpg
case_images: PMC10570445_01_fcvm-10-1211365-g004.jpg
case_images: F4
case_images: To avoid tamponade and its hemodynamic consequences, definite chest closure was postponed to 1 day after the surgery (Figure 4).
case_images: Flow pattern (flow in L/min) of the first 26 days with the TAH support in the VSD patient.
case_images: fcvm-10-1211365-g005.jpg
case_images: PMC10570445_01_fcvm-10-1211365-g005.jpg
case_images: F5
case_images: TAH was functioning in its standard automatic mode, with flow adjustments to over 5 L/min based on changes in preload detected by pressure sensors inside the device (Figure 5). The patient was extubated 2 days after the implantation.