Surgical management of systemic right ventricular failure.

系统性右心室衰竭的外科治疗。

• 发表时间: 2024 Jun 12
• 来源期刊: Asian Cardiovasc Thorac Ann
• DOI: 10.1177/02184923241260445
• PMID: 39129434
• 文章类型: Case Reports
• 作者列表: Masaki S,Itatani K,Shibata T,Suda H

关键词: CHD; Heart failure operations; adult congenital heart disease; pacing; resynchronization/biventricular/all modalities; right; transposition of the aorta; tricuspid valve; ventricle

Mesh: Humans; Middle Aged; Tricuspid Valve Insufficiency / surgery physiopathology diagnostic imaging etiology; Heart Failure / physiopathology etiology surgery diagnostic imaging; Treatment Outcome; Ventricular Dysfunction, Right / physiopathology etiology diagnostic imaging surgery; Ventricular Function, Right; Cardiac Resynchronization Therapy; Tricuspid Valve / surgery diagnostic imaging physiopathology; Recovery of Function; Male; Severity of Illness Index; Heart Valve Prosthesis Implantation; Cardiac Valve Annuloplasty; Cardiac Surgical Procedures

Abstract

Severe systemic right ventricular failure with tricuspid regurgitation is associated with poor prognosis. Here, we report a case of 49-year-old patient who experienced severe systemic right ventricular failure following atrial switch. We chose the surgical strategy for this challenging case using comprehensive four-dimensional imaging. The patient underwent tricuspid valve repair and cardiac resynchronization therapy and recovered with improved cardiac function and regulated tricuspid valve regurgitation.

摘要

严重的系统性右心室衰竭伴三尖瓣反流与不良预后相关。这里,我们报道一例49岁的患者,在心房转换后出现严重的系统性右心室衰竭.我们使用全面的四维成像选择了这种具有挑战性的病例的手术策略。患者接受了三尖瓣修复和心脏再同步化治疗，心脏功能改善，三尖瓣反流得到调节。