Glenn shunt as a rescue strategy for acute right ventricular failure after right ventricular myocardial infarction.
Melina C den HaanMeindert PalmenAnastasia D EgorovaMark G HazekampPublished in: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (2024)
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.
Keyphrases
- mitral valve
- left ventricular
- coronary artery
- pulmonary artery
- aortic valve
- aortic stenosis
- liver failure
- pulmonary hypertension
- heart failure
- transcatheter aortic valve replacement
- computed tomography
- respiratory failure
- soft tissue
- decision making
- aortic dissection
- ejection fraction
- atrial fibrillation
- intensive care unit