Bidirectional cavopulmonary shunt for acute right ventricular failure in an adult patient.
case_report · Level V
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Abstract
Right ventricular failure due to right coronary occlusion is an uncommon but serious complication of acute aortic dissection. We report a patient with right coronary occlusion from acute type A aortic dissection who developed right ventricular failure that persisted after proximal aortic repair, rendering weaning from extracorporeal circulation unsuccessful. With a bidirectional cavopulmonary shunt and the use of an intraaortic balloon, the patient could be weaned successfully from cardiopulmonary bypass. This procedure may be an alternative to a right ventricular assist device in selected candidates.
Medical subject headings
- Cardiopulmonary Bypass
- Ventricular Dysfunction, Right