Bailout After Failed Biventricular Management of Critical Aortic Stenosis: Another Application of the Hybrid Approach Christian Pizarro, MD, Majeed A.

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Presentation transcript:

Bailout After Failed Biventricular Management of Critical Aortic Stenosis: Another Application of the Hybrid Approach Christian Pizarro, MD, Majeed A. Bhat, MD, Christopher D. Derby, MD, Wolfgang A. Radtke, MD The Annals of Thoracic Surgery Volume 87, Issue 5, Pages e40-e42 (May 2009) DOI: 10.1016/j.athoracsur.2009.02.007 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preintervention chest roentgenogram reveals important cardiomegaly, at the expense of the left heart, and pulmonary edema. The Annals of Thoracic Surgery 2009 87, e40-e42DOI: (10.1016/j.athoracsur.2009.02.007) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Apical 4-chamber view on echocardiogram shows a dilated left atrium and left ventricle, moderate to severe mitral regurgitation, and an intact atrial septum. The Annals of Thoracic Surgery 2009 87, e40-e42DOI: (10.1016/j.athoracsur.2009.02.007) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 A chest roentgenogram after hybrid procedure shows a smaller heart and resolution of pulmonary edema. Atrial and ductal stents are in the proper position. The Annals of Thoracic Surgery 2009 87, e40-e42DOI: (10.1016/j.athoracsur.2009.02.007) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Similar echocardiographic view demonstrates smaller left atria and ventricular cavities, a smaller jet of mitral regurgitation, and atrial stent in place. The Annals of Thoracic Surgery 2009 87, e40-e42DOI: (10.1016/j.athoracsur.2009.02.007) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions