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Published on: July 20, 2022
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Surgical management of systemic right ventricular failure
Shota Masaki1, Keiichi Itatani1, Toshihiko Shibata2
1Department of Cardiovascular Surgery, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Asian Cardiovascular & Thoracic Annals
|August 12, 2024
Summary
Systemic right ventricular failure and tricuspid regurgitation can be successfully treated. This case report details a patient
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Imaging
Background:
- Severe systemic right ventricular failure (SRVF) with tricuspid regurgitation (TR) carries a poor prognosis.
- SRVF can occur after atrial switch procedures, posing significant clinical challenges.
Observation:
- A 49-year-old patient presented with SRVF post-atrial switch.
- Comprehensive four-dimensional (4D) imaging was utilized to guide surgical strategy.
Findings:
- The patient underwent successful tricuspid valve repair and cardiac resynchronization therapy (CRT).
- Post-operative recovery showed improved cardiac function and regulated TR.
Implications:
- This case highlights the efficacy of a combined surgical approach for complex SRVF and TR.
- 4D imaging is a valuable tool for planning complex cardiac surgeries.
- Tricuspid valve repair and CRT can significantly improve outcomes in selected patients.
