| Temporary decompression of the right ventricle to assess the right ventricle-dependent coronary circulation in pulmonary atresia with intact ventricular septum. | |
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MedLine Citation:
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PMID: 16095245 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Shigemitsu Iwai; Hidefumi Kishimoto; Hiroaki Kawata |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 2005-08-12 Completed Date: 2005-09-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884261 Medline TA: Jpn J Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 400-3 Citation Subset: IM |
Affiliation:
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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:
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| MeSH Terms | |
Descriptor/Qualifier:
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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
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