Publication Type : Journal Article
Publisher : Heart, Lung and Circulation
Source : Heart, Lung and Circulation 2013; 22:685–687. http://dx.doi.org/10.1016/ j.hlc.2012.11. 019. ,
Url : https://www.sciencedirect.com/science/article/abs/pii/S1443950612013959
Campus : Kochi
School : School of Medicine
Department : Paediatric Cardiology
Year : 2013
Abstract : A 20 year-old male was diagnosed to have Ebstein's anomaly with severe right ventricular dysfunction. He was taken up for 1.5 ventricle repair. Post procedure, there was difficulty in weaning from cardiopulmonary bypass due to progressive right ventricular dilatation compromising the systemic output. An atrial septectomy did not help. Progressive right ventricular dilatation compressing the left ventricle, demonstrated on transoesophageal echocardiogram, prompted us to perform a right ventricular exclusion and univentricular palliation. The patient was successfully weaned off cardiopulmonary bypass and had a smooth postoperative recovery. Judicious use of right ventricular exclusion and univentricular palliation could be an effective bailout strategy in difficult surgical scenarios in Ebstein's anomaly.
Cite this Research Publication : Navaneetha Sasikumar, Soman R. Krishna Manohar, Saji Philip, Kottoorathu Mammen Cherian, Raghavannair Suresh Kumar, "Right Ventricular Exclusion and Univentricular Palli ation for Failed One and a Half Ventricle Repair for Ebstein's Anomaly," Heart, Lung and Circulation, 2013; 22:685–687. http://dx.doi.org/10.1016/ j.hlc.2012.11. 019. (Brief Communication)