JTCS KCI
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 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):
Jonathan D'Cunha
Ranjit John
Kenneth Liao
Lyle Joyce
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Marquez, T. T.
Right arrow Articles by Joyce, L.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Marquez, T. T.
Right arrow Articles by Joyce, L.
Related Collections
Right arrow Mechanical Circulatory Assistance
Right arrow Myocardial infarction

J Thorac Cardiovasc Surg 2009;137:e39-e40
© 2009 The American Association for Thoracic Surgery

Brief Communication

Mechanical support for acute right ventricular failure: Evolving surgical paradigms

Thao T. Marquez, MDa,*, Jonathan D'Cunha, MD, PhDb, Ranjit John, MDa, Kenneth Liao, MDa, Lyle Joyce, MD, PhDa

a Division of Cardiothoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minn
b Division of Thoracic and Foregut Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minn

Received for publication January 3, 2008; accepted for publication February 23, 2008.

* Address for reprints: Thao T. Marquez, MD, MMC 450, 420 Delaware St SE, Minneapolis, MN 55113. (Email: tran0360@umn.edu).

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

Isolated right ventricular (RV) infarction after dissection of the right coronary artery is associated with a high risk of death because of the development of RV failure, cardiogenic shock, and multisystem organ failure (MSOF). There are few reports of the use of RV assist devices (RVADs) for acute RV failure. We describe the successful care of 2 such moribund patients who experienced striking clinical improvement with the RVAD as a novel approach to acute surgical management.

Clinical Summary

PATIENT 1. A 76-year-old man was evaluated urgently after dissection of the right coronary ostium with extension into his right coronary artery during coronary angioplasty. He was in cardiogenic shock and required the assistance of an intraaortic balloon pump. Angiography showed bilateral coronary artery disease (left anterior descending artery and right main coronary artery). He underwent 2-vessel coronary artery bypass grafting, oversewing of his right coronary ostium, and complete transection of the aorta at the . . . [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 © 2009 by The American Association for Thoracic Surgery.