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Giovanni Battista Luciani
Alessandro Fabbri
Giuseppe Faggian
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Ann Thorac Surg 1993;56:363-366
© 1993 The Society of Thoracic Surgeons

Articles

Mechanical assist device for right ventricular failure after acute aortic dissection

Giovanni Battista Luciani, MD, Alessandro Fabbri, MD*, Giuseppe Faggian, MD, Paolo Marino, MD, Alessandro Mazzucco, MD

Departments of Cardiovascular Surgery and Cardiology, University of Verona, Verona, Italy

Accepted for publication October 7, 1992.

* Address reprint requests to Dr Fabbri, Cattedia e Divisione di Cardiochirurgia, University di Verona, O. C. M. Piazzale Stefani 1, Verona, 37126, Italy.

Acute myocardial ischemia and infarction due to retrograde coronary artery dissection are uncommon complications after ascending aortic dissection. A case of acute aortic dissection with massive right ventricular failure successfully treated by replacement of the ascending aorta and postoperative right ventricular mechanical support is presented. Although mechanical assistance may be hazardous after ascending aortic replacement, because of the need of anticoagulation, it represents a valid therapeutic option when severe right ventricular failure due to acute myocardial infarction ensues.




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T. Kunihara, V. Dzindzibadze, D. Aicher, and H.-J. Schafers
Bidirectional cavopulmonary shunt for acute right ventricular failure in an adult patient
Ann. Thorac. Surg., September 1, 2004; 78(3): 1066 - 1068.
[Abstract] [Full Text] [PDF]


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