Related Experiment Videos
Right ventricular thrombosis early after bidirectional Glenn shunt
K Imanaka1, S Takamoto, A Murakami
1Department of Cardiothoracic Surgery, University of Tokyo, Japan.
The Annals of Thoracic Surgery
|September 4, 1999
Summary
Early right ventricle thrombosis after bidirectional superior cavopulmonary shunt is a risk in patients with pulmonary atresia. Minimize transfusions and consider early anticoagulation and frequent echocardiography to manage this complication.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Cardiovascular Surgery
Background:
- Bidirectional superior cavopulmonary shunt (BSCPS) is a palliative surgical procedure for complex cyanotic heart disease.
- Pulmonary atresia with intact ventricular septum and major right ventricular coronary artery communication (PA/IVS/MRVCC) is a rare and complex congenital heart defect.
Observation:
- Two patients with PA/IVS/MRVCC developed early thrombosis in the right ventricle following BSCPS.
- One of these patients also experienced perioperative brain infarction.
Findings:
- Right ventricle thrombosis is a potential early complication after BSCPS in this specific patient population.
- Perioperative brain infarction can also occur, highlighting the critical nature of this complication.
Implications:
- Clinicians must be vigilant for this potentially lethal complication in patients undergoing BSCPS for PA/IVS/MRVCC.
- Minimizing platelet and fresh plasma transfusions may be crucial.
- Frequent echocardiography and early initiation of strict anticoagulation are recommended despite good initial hemodynamics.