ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Takashi Kunihara
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kunihara, T.
Right arrow Articles by Schäfers, H.-J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kunihara, T.
Right arrow Articles by Schäfers, H.-J.
Related Collections
Right arrow Great vessels

Ann Thorac Surg 2004;78:1066-1068
© 2004 The Society of Thoracic Surgeons


Case report

Bidirectional cavopulmonary shunt for acute right ventricular failure in an adult patient

Takashi Kunihara, MDa, Vakhtang Dzindzibadze, MDa, Diana Aicher, MDa, Hans-Joachim Schäfers, MDa,*

a Department of Thoracic and Cardiovascular Surgery, University Hospital Homburg, Homburg, Germany

Accepted for publication June 25, 2003.

* Address reprint requests to Dr Schäfers, Department of Thoracic and Cardiovascular Surgery, University Hospital Homburg, Kirrberger Strasse 1, Homburg/Saar D-66421, Germany
chhjsc{at}uniklinik-saarland.de

Right ventricular failure due to right coronary occlusion is an uncommon but serious complication of acute aortic dissection. We report a patient with right coronary occlusion from acute type A aortic dissection who developed right ventricular failure that persisted after proximal aortic repair, rendering weaning from extracorporeal circulation unsuccessful. With a bidirectional cavopulmonary shunt and the use of an intraaortic balloon, the patient could be weaned successfully from cardiopulmonary bypass. This procedure may be an alternative to a right ventricular assist device in selected candidates.







HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2004 by The Society of Thoracic Surgeons.