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Hideto Shimpo
Masaki Kajimoto
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J Thorac Cardiovasc Surg 2006;132:693-694
© 2006 The American Association for Thoracic Surgery

Brief Communication

One-way valved patch repair in an adult with a hypoplastic right ventricle

Shin Takabayashi, MD, PhD*, Hideto Shimpo, MD, PhD, Kazuto Yokoyama, MD, Masaki Kajimoto, MD

Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Mie, Japan.

Received for publication April 25, 2006; accepted for publication May 3, 2006.

* Address for reprints: Shin Takabayashi, MD, PhD, Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie 514-8507, Japan (Email: shin1111@clin.medic.mie-u.ac.jp).

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

Patients with congenital heart defects characterized by a hypoplastic right ventricle (RV) are at high risk for the development of postoperative RV failure. Although the usefulness of a 1-way valved patch1Go for biventricular repair of a hypoplastic RV2Go has been reported in pediatric patients, little is known about the effects of a 1-way valved patch in adult patients. Here we report biventricular repair in an adult patient by using a 1-way valved patch to reduce the risk of postoperative RV failure.

Clinical Summary

A 60-year-old man weighing 79 kg was given a diagnosis of a secundum atrial septal defect (ASD), severe pulmonary stenosis, and a hypoplastic RV. On admission, his oxygen saturation as measured by means of pulse oximetry was 80% at room air, and erythrocytosis (hematocrit level, 63%) was detected. Transesophageal echocardiography showed a secundum ASD of 15 mm with a right-to-left shunt and a tricuspid valve diameter of 33 . . . [Full Text of this Article]






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