Transient right ventricular dysfunction caused by retractor during lower hemisternotomy mitral valve repair in a patient with pectus excavatum Homare.

Slides:

Advertisements

Similar presentations

Uterine leiomyoma extension into right atrium: A case report

Advertisements

Manuel J. Antunes, MD, PhD, DSc

A wolf in sheep's clothing

Ankit Maheshwari, MD, Robert J. Bache, MD

Early structural valve deterioration of the Trifecta aortic valve biological prosthesis: A word of caution Pankaj Saxena, FRACS, PhD, Kevin L. Greason,

An unusual case of severe aortic valve stenosis in an adult caused by aortic valve inflammatory myofibroblastic tumor Dong Zhao, MD, Chunsheng Wang,

Multiple papillary fibroelastomas as a cause of recurrent syncope

Novel mechanism of mitral regurgitation after lung transplantation in a patient with scleroderma and pulmonary hypertension Christian A. Bermudez, MD,

Endoscopic Robotic Mitral Valve Surgery

Potential myocardial regeneration with CorMatrix ECM: A case report

Cardiac pheochromocytoma

B. Albat, MD, P. Messner-Pellenc, MD, A. Thévenet, MD

Weaning of extracorporeal membrane oxygenation using continuous hemodynamic transesophageal echocardiography Nicholas C. Cavarocchi, MD, Harrison T.

Turning to the truth: Is mechanical aortic valve orientation important in transthoracic echocardiographic detection of prosthetic dysfunction and paravalvular.

Timing of valve repair for severe degenerative mitral regurgitation and long-term left ventricular function Takeshi Kitai, MD, Yukikatsu Okada, MD, Yu.

Klaus Langes, MD, Dietmar Koschyk, MD, Detlef G. Mathey, MD

The days of future past Neel K. Ranganath, MD, Aubrey C. Galloway, MD

An alternate approach to valve replacement in patients with mitral stenosis and severely calcified annulus Sameh M. Said, MD, Hartzell V. Schaff, MD

Syncope caused by right ventricular obstruction by pectus excavatum

The impact of additional epicardial imaging to transesophageal echocardiography on intraoperative detection of residual lesions in congenital heart surgery

Form ever follows function

Functional mitral stenosis after mitral valve repair is a true anatomic problem that originates from the time of surgery Vincent Chan, MD, MPH, Thierry.

Multilevel data analysis: What? Why? How?

Left ventricular apical papillary fibroelastoma

Dilated cardiomyopathy and functional mitral regurgitation complicated with traumatic ventricular septal defect Hisato Ito, MD, Kiyohito Yamamoto, MD,

Successful repair of a variant of mitral arcade

Acute left ventricular failure after bilateral lung transplantation for idiopathic pulmonary arterial hypertension Tom Verbelen, MD, Sophie Van Cromphaut,

Expanding left ventricular assist device use to patients with disabilities: The role of assistive technology Juan A. Crestanello, MD The Journal of.

Myriad manifestations of myxoma

Natural history of coexistent tricuspid regurgitation in patients with degenerative mitral valve disease: Implications for future guidelines Andrew B.

Hemoptysis as a rare presentation of cor triatriatum sinister

The variability of the mitral valve anatomy and terminology

Maher N. Abadeer, MD, Peter C. Kouretas, MD, PhD, Ronald K

Accuracy of transesophageal echocardiography in the identification of postoperative intramural ventricular septal defects Jyoti K. Patel, MD, Andrew.

A novel surgical approach to close an acute ventricular septal defect using an occluder device Chanaka Rajakaruna, MRCS, Jonathan Hill, MA, MRCP, Eleanor.

Beating heart surgery via right thoracotomy for reoperative mitral valve surgery: A safe and effective operative alternative Matthew A. Romano, MD, Jonathan.

Acute myocardial infarction and limb ischemia as manifestation of nonbacterial thrombotic endocarditis Naoko Nagano, MD, Jean-François Morin, MD, FRCS,

Congenital absence of posteromedial papillary muscle and anterior mitral leaflet chordae: The use of three-dimensional echocardiography and approach in.

Takeyoshi Ota, MD, PhD, David Schwartzman, MD, Marco A. Zenati, MD

The evolution of intraoperative support in lung transplantation: Cardiopulmonary bypass to extracorporeal membrane oxygenation P. Michael McFadden, MD,

Mitral valve replacement for inflow obstruction of left ventricular assist device in a child with restrictive cardiomyopathy Hari Tunuguntla, MD, Susan.

Perforation of tricuspid pouch after tricuspid ring annuloplasty

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

Minimally invasive off-pump implantation of HeartMate 3 left ventricular assist device Diyar Saeed, MD, PhD, Stephan Sixt, MD, PhD, Alexander Albert,

Kevin Bridge, MD, MSPH, Robert Saeid Farivar, MD, PhD

Mariko Morita, MD, Hiroshi Inoue, MD, Atsushi Amano, MD, PhD

Left ventricular vegetations: A rare manifestation of Libman-Sacks endocarditis Naritomo Nishioka, MD, Naoto Morimoto, MD, PhD, Masato Yoshida, MD, PhD,

Niv Ad, MD, Lawrence M. Wei, MD

Replicating the success of mitral valve repair in the aortic valve

Warfarin or aspirin after mitral valve repair: Why work harder?

Preserving the V-engine shape of the left ventricle with Melody mitral valve replacement in small children Patrick O. Myers, MD The Journal of Thoracic.

Mitral repair failures are not the robot's fault!

Constantine L. Athanasuleas, MD, FACC

Uterine leiomyoma extension into right atrium: A case report

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Basar Sareyyupoglu, MD, Hartzell V. Schaff, MD, Rakesh M

Ventricular assistant in restrictive cardiomyopathy: Making the right connection Robert D.B. Jaquiss, MD The Journal of Thoracic and Cardiovascular Surgery

Another case of underprovision of mitral valve repair surgery: Lessons from the Veterans Affairs health system Anelechi C. Anyanwu, MD, David H. Adams,

Seeing is believing: A call for routine early postoperative hemodynamic transesophageal echocardiography monitoring after left ventricular assist device.

Mechanical left ventricular unloading to prevent recurrent myocardial rupture Stephen Westaby, MS, PhD, Vipin Mehta, MD, Fidelma Flynn, MD, Neil Wilson,

Concomitant mitral valve replacement and re-re-repair of severe pectus deformity correction in a patient with Marfan syndrome Christoph Haller, MD, Koppany.

Aneurysmal right coronary with fistula to the coronary sinus combined with severe stenosis of the left anterior descending artery: A snake on the heart

Respect the aorta The Journal of Thoracic and Cardiovascular Surgery

Francesco Nappi, MD, Cristiano Spadaccio, MD, PhD

Lipomatous septal hypertrophy

Giant right coronary artery aneurysm with a huge intramural thrombus

Bifid cardiac apex: A rare morphologic structure

Left atrial to left ventricle bypass for mitral valve stenosis

Intraoperative endocardial ultrasonography: Improving safety in mitral valve surgery Juan A. Crestanello, MD The Journal of Thoracic and Cardiovascular.

Presentation transcript:

Transient right ventricular dysfunction caused by retractor during lower hemisternotomy mitral valve repair in a patient with pectus excavatum Homare Okamura, MD, Jon Parmet, MD, Robert S. Farivar, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 1, Pages e3-e5 (January 2014) DOI: 10.1016/j.jtcvs.2013.08.068 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Intraoperative transesophageal echocardiography focusing on the right ventricle. A, The image before surgery shows neither right ventricular dysfunction nor compression of the heart. B, On the image during weaning from cardiopulmonary bypass, the retractor is compressing the right ventricle (spanned by arrows). RA, Right atrium; RV, right ventricle; LV, left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e3-e5DOI: (10.1016/j.jtcvs.2013.08.068) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Postoperative transthoracic echocardiography. A, On postoperative day 2, the right ventricle was severely enlarged as a result of the right ventricular dysfunction. B, On postoperative day 8, right ventricular function was restored and the dimension of the right ventricle decreased. RA, Right atrium; RV, right ventricle; LA, left atrium; LV, left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e3-e5DOI: (10.1016/j.jtcvs.2013.08.068) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions