Alternative surgical management of post-infarction septal rupture: a case report.
Weaning a patient from cardiopulmonary bypass after repair of a postinfarction ventricular septal defect in the face of severe right ventricular failure is likely to be fatal. The use of a ventricular assist device may seem to be the only available option. We present an alternative surgical approach that we carried out in a 72-year-old woman. The right ventricular preload was decreased by adding a bidirectional cavopulmonary anastomosis to the septal rupture repair.
Cardarelli
M G
MG
Division of Cardiac Surgery, University of Maryland Medical System, Baltimore 21201, USA.
D000368:Aged; D017809:Fatal Outcome; D005260:Female; D018610:Heart Bypass, Right / Q000379:methods*; D006342:Heart Rupture, Post-Infarction / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D016278:Ventricular Function, Right