Document Detail


Temporary decompression of the right ventricle to assess the right ventricle-dependent coronary circulation in pulmonary atresia with intact ventricular septum.
MedLine Citation:
PMID:  16095245     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We repaired a case of pulmonary atresia with intact ventricular septum in which the blood supply to the left anterior descending coronary artery depended on the right ventricle. At the time of a bidirectional Glenn operation, total cardiopulmonary bypass with venous drainage from the right atrium was performed in order to evaluate the safety of right ventricular decompression required for a planned Fontan operation. We confirmed the dependence of the coronary perfusion on the right ventricle by demonstrating transient depression of the ST segment in the epicardial electrocardiogram during temporary decompression of the right ventricle. To prevent ischemic myocardial damage, we then performed an extracardiac Fontan operation with a temporary venous shunt and without cardiopulmonary bypass.
Authors:
Shigemitsu Iwai; Hidefumi Kishimoto; Hiroaki Kawata
Related Documents :
696645 - The criss-cross and superoinferior ventricular heart: an angiocardiographic study.
20337245 - Cardiac tumour in a newborn.
6531265 - Surgical closure of the tricuspid valve for pulmonary atresia, intact ventricular septu...
9711185 - Right heart flow dynamics after tricuspid valve annuloplasty. characteristics and time ...
21929805 - Sense of coherence predicts post-myocardial infarction trajectory of leisure time physi...
7737225 - The dispersion of repolarization in patients with ventricular tachycardia. a study usin...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi     Volume:  53     ISSN:  1344-4964     ISO Abbreviation:  Jpn. J. Thorac. Cardiovasc. Surg.     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-08-12     Completed Date:  2005-09-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884261     Medline TA:  Jpn J Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  400-3     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi, Osaka 594-1 101, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Cardiopulmonary Bypass
Decompression, Surgical
Fontan Procedure / methods
Heart Ventricles
Humans
Infant
Infant, Newborn
Palliative Care
Pulmonary Atresia / pathology*,  physiopathology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Spontaneous disappearance of focal ground-glass opacity in the lung detected on the high-resolution ...
Next Document:  Arterial air embolism during percutaneous pulmonary marking under computed tomography guidance.