{Reference Type}: Case Reports {Title}: Surgical management of systemic right ventricular failure. {Author}: Masaki S;Itatani K;Shibata T;Suda H; {Journal}: Asian Cardiovasc Thorac Ann {Volume}: 32 {Issue}: 5 {Year}: 2024 Jun 12 暂无{DOI}: 10.1177/02184923241260445 {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.