JTCS Medtronic Endurant
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Hsi-Yu Yu
Yih-Sharng Chen
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Yu, H.-Y.
Right arrow Articles by Lin, F.-Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Yu, H.-Y.
Right arrow Articles by Lin, F.-Y.
Related Collections
Right arrow Congestive Heart Failure

J Thorac Cardiovasc Surg 2002;124:1045-1047
© 2002 The American Association for Thoracic Surgery

Brief Communications

Combined right atrial and ventricular reduction operation: Case report of unrolling-rolling of the right ventricle to preserve ventricular muscle orientation

Hsi-Yu Yu, MDa, Yih-Sharng Chen, MDa, Wen-Yih Tseng, MD, PhDb, Fang-Yue Lin, MD, PhDa Taipei, Taiwan

From the Department of Surgery,a Department of Radiology,b National Taiwan University Hospital, Taipei, Taiwan.

Received for publication Jan 4, 2002. Accepted for publication Feb 16, 2002. Address for reprints: Fang-Yue Lin, MD, Department of Surgery, National Taiwan University Hospital, No.7, Chung-Shan South Rd, Taipei 100, Taiwan (E-mail address: fylin@ha.mc.ntu.edu.tw).

The first 20% of the full text of this article appears below.

A 28-year-old man was noted to have had cardiomegaly for years and was sent to the hospital because of progressive congestive heart failure. Chest radiography showed marked cardiomegaly with a cardiothoracic ratio of approximately 1.0 (Figure 1). Echocardiography showed an extremely dilated tricuspid valve anulus and regurgitation, as well as a huge right atrium and ventricle with a competent pulmonary valve. Pulmonary artery pressure was estimated at 35 mm Hg, and central venous pressure was measured at 16 mm Hg. Cine magnetic resonance imaging (MRI) study revealed severe tricuspid regurgitation with incompetent leaflets and paradoxical motion of interventricular septum during the cardiac cycle (Figure 2). Right ventricular (RV) size was 897 mL, and right atrial size was 1930 mL at end-diastolic phase, as determined on the basis of MRI image calculation. RV biopsy was performed to rule out arrhythmogenic RV dysplasia. Under the impression of congenital tricuspid valve regurgitation caused by annular dilationGo 1 and severely dilated right ventricle and atrium, a combined right atrial and ventricular reduction operation (CRAVRO) was performed under cardiopulmonary bypass without aortic clamping.


Figure Removed (Available Only in the Full Text)
View larger version (100K):
[in this window]
[in a new window]
  		Fig. 1. a, Extremely dilated heart before operation with cardiothoracic ratio of approximately 1.0. b, Reduced heart size after operation.

 

Figure Removed (Available Only in the Full Text)
View larger version (61K):
[in this window]
[in a new window]
  		Fig. 2. MRI at end-diastolic phase . . . [Full Text of this Article]

 





HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2002 by The American Association for Thoracic Surgery.