Concomitant surgery for double-chambered right ventricle and coronary stenosis
Ryosuke Kowatari1, Kazuyuki Daitoku1, Shiho Yamazaki1
1Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan.
Background And Aims:
The clinical data of coronary artery disease in patients with double-chambered right ventricle are limited. We report an adult double-chambered right ventricle case with three-vessel coronary artery disease that was successfully treated with concomitant double-chambered right ventricle repair and coronary artery bypass grafting.
Materials And Methods:
The patient case data was extracted from hospital records.
Results:
The patient was the case of a 60-year-old man with a double-chambered right ventricle and three-vessel coronary artery disease. He underwent concomitant surgery comprising double-chambered right ventricle repair and coronary artery bypass grafting. Achieving cardiac arrest allowed us to obtain a good surgical view of the heavy and severely hypertrophied heart. Postoperative computed tomography revealed a feasible running course of the sequential graft, indicating that the path of the sequential graft should be clockwise (aorto-right coronary-left circumflex artery) in this unusual anatomical condition.
Discussion And Conclusion:
We report this rare disease combination and highlight the need for careful preoperative planning in such cases.
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