Paracorporeal ventricular assist device implantation in a patient with transposition of the great arteries after senning operation

We experienced a 33-year-old patient with D-looped transposition of the great arteries (D-TGA) and a his-tory of Senning operation who was referred to our institute with cardiogenic shock and subsequently underwent urgent paracorporeal ventricular assist device (VAD) implantation, which was a first in Japan, that was eventu-ally converted to a durable VAD. Central venous pressure was maintained relatively high to obtain VAD filling and recover end-organ dysfunction, given the migration of the inflow cannula due to rich trabeculae carneae of the anatomical right ventricle (systemic ventricle in this case).