Document Detail


Right Ventricular Exclusion and Univentricular Palliation for Failed One and a Half Ventricle Repair for Ebstein's Anomaly.
MedLine Citation:
PMID:  23266190     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
Navaneetha Sasikumar; Soman R Krishna Manohar; Saji Philip; Kottoorathu Mammen Cherian; Raghavannair Suresh Kumar
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-21
Journal Detail:
Title:  Heart, lung & circulation     Volume:  -     ISSN:  1444-2892     ISO Abbreviation:  Heart Lung Circ     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963739     Medline TA:  Heart Lung Circ     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012. Published by Elsevier B.V.
Affiliation:
Departments of Paediatric Cardiology and Paediatric Cardiac Surgery, Dr. K.M. Cherian Heart Foundation, Thiruvalla, Kerala, India.
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