Right Atrial Approach for Surgical Repair of Post Infarction Ventricular Septal Defect and Acute Tricuspid Regurgitation with Cardiogenic Shock

2013 ◽  
Vol 22 (6) ◽  
pp. 441-443
Author(s):  
Sanjay Kumar ◽  
Vladimir Shumaster ◽  
Raj Modak ◽  
Lavanya Bellumkonda ◽  
Daniel Jacoby ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Cardiogenic Shock ◽  
Tricuspid Regurgitation ◽  
Septal Defect ◽  
Surgical Repair ◽  
Right Atrial ◽  
Right Atrial Approach

Right Atrial Approach for Acquired Posterior Ventricular Septal Defect: Reply

1988 ◽  
Vol 45 (5) ◽  
pp. 588
Author(s):  
John A. Rousou ◽  
Richard M. Engelman ◽  
Robert H. Breyer
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Right Atrial ◽  
Right Atrial Approach

Right Atrial Approach for Acquired Posterior Ventricular Septal Defect

1988 ◽  
Vol 45 (5) ◽  
pp. 587
Author(s):  
Jose L. Filgueira ◽  
Mauricio Cassinelli ◽  
Sergio A. Battistessa ◽  
Hector Estable ◽  
Alvaro Lorenzo ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Right Atrial ◽  
Right Atrial Approach

Successful extensive enlargement of a non-committed ventricular septal defect in double outlet right ventricle

2005 ◽  
Vol 15 (4) ◽  
pp. 431-433
Author(s):  
Nobuyuki Ishibashi ◽  
Mitsuru Aoki ◽  
Tadashi Fujiwara
Keyword(s):  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Tricuspid Valve ◽  
Tricuspid Regurgitation ◽  
Septal Defect ◽  
Arterial Switch Operation ◽  
Double Outlet Right Ventricle ◽  
Right Atrial ◽  
Arterial Switch ◽  
Switch Operation

We performed an arterial switch operation in a patient with double outlet right ventricle with non-committed ventricular septal defect, and abnormal insertion of the tension apparatus of the tricuspid valve which produced moderate tricuspid regurgitation. This required extensive enlargement of the ventricular septal defect between the attachments of the cords of the tricuspid valve so as to create the interventricular rerouting that made possible the arterial switch operation. Postoperatively, we produced a straight, unobstructed, left ventricular outflow tract, improved the extent of tricuspid regurgitation, and achieved low right atrial pressures. Enlargement of the interventricular communication can set the scene for biventricular repair in this particular subset of patients with both arterial trunks arising from the morphologically right ventricle.

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