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Ann Thorac Surg 1987;43:435-436
© 1987 The Society of Thoracic Surgeons

Articles

Creation of an Atrial Septal Defect for Acute Postperfusion Right Ventricular Failure

J.M. Caralps, M.D.*, J.M. Padró, M.D., M.L. Cámara, M.D., A. Aris, M.D., O. Bonnin, M.D.

Cardiac Surgery Unit, Hospital de S. Pablo, Barcelona, Spain

Accepted for publication March 24, 1986.

* Address reprint requests to Dr. Caralps, Maestro Falla, 31, Barcelona 08034, Spain

Acute postperfusion right ventricular failure following mitral and aortic valve replacement in a patient with severe double-valve incompetence secondary to endocarditis is presented. The situation was reversed by creating an atrial septal defect that decompressed the right ventricle and increased left ventricular filling pressure.




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