Glenn shunt as a rescue strategy for acute right ventricular failure after right ventricular myocardial infarction.
Eur J Cardiothorac Surg
; 65(5)2024 May 03.
Article
em En
| MEDLINE
| ID: mdl-38603625
ABSTRACT
We present the case of a 52-year-old woman with cardiogenic shock and refractory right ventricular failure due to spontaneous dissection of the right coronary artery. She remained dependent on mechanical support for several weeks. Both a right ventricular assist device implant and a bidirectional cavopulmonary anastomosis were explored as long-term support options. A history of malignancy and possible right ventricular functional recovery resulted in a decision in favour of the bidirectional cavopulmonary anastomosis and concomitant tricuspid valve annuloplasty. Postoperatively her clinical condition improved significantly, and she could be discharged home. Echocardiography showed normalization of right ventricular dimensions and slight improvement of right ventricular function.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Insuficiência Cardíaca
/
Infarto do Miocárdio
Limite:
Female
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Humans
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Middle aged
Idioma:
En
Revista:
Eur J Cardiothorac Surg
/
Eur. j. cardiothorac. surg
/
European journal of cardio-thoracic surgery
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Holanda