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

Published byHengki Yuwono Modified over 5 years ago

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Presentation on theme: "Transient right ventricular dysfunction caused by retractor during lower hemisternotomy mitral valve repair in a patient with pectus excavatum  Homare."— Presentation transcript:

1 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: /j.jtcvs Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

2 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  , e3-e5DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

3 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  , e3-e5DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

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