Total right ventricular exclusion procedure: An operation for isolated congestive right ventricular failure

Sano, Shunji; Ishino, Kozo; Kawada, Manabu; Kasahara, Shingo; Kohmoto, Takushi; Takeuchi, Mamoru; Ohtsuki, Shin Ichi

doi:10.1067/mtc.2002.121160

Cited by 78 publications

(39 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…12 Briefly, the RV free wall was resected along the atrioventricular groove and then parallel to the IVS, sparing the pulmonary valve and skeltonized right coronary artery. The orifice of the tricuspid valve was closed with either a polytetrafluoroethylene (PTFE) patch or with its leaflets.…”

Section: Surgical Proceduresmentioning

confidence: 99%

See 1 more Smart Citation

Total Right Ventricular Exclusion Improves Left Ventricular Function in Patients With End-Stage Congestive Right Ventricular Failure

et al. 2003

Self Cite

View full text Add to dashboard Cite

Background-We developed a total right ventricular (RV) exclusion procedure for the treatment of isolated congestive RV failure. The objective of the present study was to elucidate the effects of a complete removal of RV volume overload (RVVO) on the surgically created single left ventricle (LV). Methods and Results-Three adults (2 arrhythmogenic RV dysplasia, 1 Ebstein) and 5 children (all Ebstein) in NYHA class IV underwent the procedure. The RV free wall was resected from the heart, and the tricuspid orifice was closed. Pulmonary blood supply was obtained by a cavopulmonary connection in 6 patients and a systemic-pulmonary shunt in 2. The LV function was evaluated by 2-dimensional echocardiography 1 month after the surgery. All patients are alive. The paradoxical movement of the interventricular septum and geometry of the LV expressed by its eccentricity (2.

show abstract

Section: Surgical Proceduresmentioning

confidence: 99%

“…12 This procedure is composed of the resection of the RV free wall and a cavopulmonary connection or systemic-pulmonary shunt. The objective of the current study was to elucidate the effects of a complete removal of RVVO on the surgically created single LV utilizing 2-dimensional (2D) and Doppler echocardiography.…”

mentioning

confidence: 99%

Total Right Ventricular Exclusion Improves Left Ventricular Function in Patients With End-Stage Congestive Right Ventricular Failure

et al. 2003

Self Cite

View full text Add to dashboard Cite

show abstract

“…Heart transplantation is the best treatment modality with long-term survival. 12,13 In our case series, orthotopic heart transplantation would be the final therapeutic option for our patients. All three patients had biventricular failure and had orthotopic heart transplantation and continued to survive with good quality of life.…”

Section: Discussionmentioning

confidence: 99%

Arrhytmogenic Right Ventricular Dysplasia/ Cardiomyopathy (ARVD/C) and Heart Transplantation: Case Series

Demirozu¹,

Küçükaksu²

2015

Turkiye Klinikleri J Cardiovasc Sci

View full text Add to dashboard Cite

36rrhytmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) is a heart muscle disease of unknown etiology, characterized by peculiar right ventricular (RV) involvement, has a prevalence of at least 1 in 1000 and ventricular arrhythmias, sudden death may be observed. 1Arrhytmogenic Right Ventricular Dysplasia/ Cardiomyopathy (ARVD/C) and Heart Transplantation: Case Series A AB BS ST TR RA AC CT T Arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) usually originates from right ventricle, has a prevalence 1 in 1000 and leading cause of death in people aged less than 35 years of age, also desmosome mutations and family history can be seen in this disease. We reviewed the literature and described three patients with arrhythmogenic right ventricular dysplasia/ cardiomyopathy (ARVD/C). They had T wave inversion in chest leads V1 to V4 and had premature ventricular complexes of left bundle branch block and left axis deviation, or right bundle branch block (RBB) had implantable cardioverter defibrillator (ICD) implantation and fulfilled the task force criteria for diagnosis of ARVD/C. One patient had familial erythrocytosis and thrombus formation in the right atrium and the right ventricle. He was listed as status 1A and had 2 times phlebotomy during the hospitalization. The other patient had warfarin intoxication, and had hepatic congestion due to end-stage right heart failure. The third patient had a history of cerebrovascular event and had a family history of ARVD/C. All of our patients had the medical regimen for the management of ARVD/C. All of the patients were in NYHA Class III-IV while they admitted to our clinic and they had their final therapeutic option as an orthotopic heart transplantation and have a good quality of life.K Ke ey y W Wo or rd ds s: : Arrhythmogenic right ventricular dysplasia; heart transplantation Ö ÖZ ZE ET T Aritmojenik sağ ventriküler displazisi/kardiyomiyopati (ARVD/C), sağ ventrikülden orijin alır, 1000'de 1 görülme sıklığı vardır, 35 yaşından genç insanlarda en fazla ölüm sebeplerindendir. Bu hastalıkta desmozom mutasyonları ve aile hikayesi görülebilir. Biz detaylı olarak literatürü taradıktan sonra, aritmojenik sağ ventrikül displazisi/kardiyomiyopati (ARVD/C) olan 3 hastamızı sunuyoruz.V1'den V4'e kadar tüm göğüs derivasyonlarında ve sol dal bloğu ile prematür ventrikül atımlar ve sol aks deviasyonu ve sağ dal bloğu tespit edilmesi üzerine hastalara kardiyoverter implantable defibrilatör (ICD) implante edildi. Hastalarımızdan biri 1A statüsünde idi ve hastanede bulunduğu sürede 2 kez filebotomi yapıldı. Diğer hastanın warfarin intoksikasyonu ve sağ kalp yetmezliğine bağlı karaciğer konjesyonu mevcuttu. Üçüncü hastamızın da daha önce geçirilmiş serebrovasküler olayı ve ARVD/C aile hikayesi vardı. Tüm hastalarımız ARVD/C yönelik maksimum medikal tedavilerini almışlardı ve kliniğimize başvurduklarında New York Heart Association (NYHA) Klass III-IV idiler ve onlar için en iyi tedavi kalp nakli olmaları idi. Ortotopik kalp naklini olduktan sonra daha iyi bir yaşam ...

show abstract

“…T he total right ventricular (RV) exclusion procedure for isolated congestive RV failure, in which most of the dilated right atrium (RA) and RV wall is resected, was first reported by Sano et al in 2002. 1 This procedure improves the cardiac index 2 and suppresses supraventricular/ventricular tachyarrhythmia.…”

mentioning

confidence: 99%

“…1 This procedure improves the cardiac index 2 and suppresses supraventricular/ventricular tachyarrhythmia. Using this procedure with an extracardiac conduit, we successfully treated severe heart failure characterized by a markedly dilated right heart lacking tricuspid leaflets and by recurrent tachyarrhythmia, 17 years after the patient had undergone initial definitive intracardiac repair including RV outflow tract plasty.…”

mentioning

confidence: 99%

Markedly Dilated Right Heart 17 Years After Initial Treatment Repaired by Total Right Ventricular Exclusion and Total Cavopulmonary Connection

et al. 2008

View full text Add to dashboard Cite

Total right ventricular exclusion procedure: An operation for isolated congestive right ventricular failure

Cited by 78 publications

References 23 publications

Total Right Ventricular Exclusion Improves Left Ventricular Function in Patients With End-Stage Congestive Right Ventricular Failure

Total Right Ventricular Exclusion Improves Left Ventricular Function in Patients With End-Stage Congestive Right Ventricular Failure

Arrhytmogenic Right Ventricular Dysplasia/ Cardiomyopathy (ARVD/C) and Heart Transplantation: Case Series

Markedly Dilated Right Heart 17 Years After Initial Treatment Repaired by Total Right Ventricular Exclusion and Total Cavopulmonary Connection

Contact Info

Product

Resources

About