Glenn shunt as a rescue strategy for acute right ventricular failure after right ventricular myocardial infarction.

Autor:	den Haan MC; Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands., Palmen M; Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, the Netherlands., Egorova AD; Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands.; CAHAL, Center for Congenital Heart Disease Amsterdam Leiden, Leiden University Medical Center, Leiden, the Netherlands., Hazekamp MG; Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, the Netherlands.; CAHAL, Center for Congenital Heart Disease Amsterdam Leiden, Leiden University Medical Center, Leiden, the Netherlands.
Jazyk:	angličtina
Zdroj:	European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery [Eur J Cardiothorac Surg] 2024 May 03; Vol. 65 (5).
DOI:	10.1093/ejcts/ezae157
Abstrakt:	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. (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery.)
Databáze:	MEDLINE
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