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Combined endocardiectomy and bidirectional glenn shunt for right ventricular endomyocardial fibrosis.

Abstract
We report the case of a young African woman with a history of right ventricular failure. Image studies suggested endomyocardial fibrosis affecting only the right side of the heart. The right ventricle was extremely small and restricted. The surgical approach entailed endocardectomy and a bidirectional cavopulmonary shunt to improve weaning off bypass and postoperative recovery, both of which were successfully achieved.
AuthorsAngeles Heredero, Maribel Garcia-Vega, Marta Tomas, Marta Cremades, Pilar Calderon, Apostolos Paul Karagounis, Gonzalo Aldamiz-Echevarria
JournalThe Annals of thoracic surgery (Ann Thorac Surg) Vol. 93 Issue 1 Pg. 310-2 (Jan 2012) ISSN: 1552-6259 [Electronic] Netherlands
PMID22186457 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Topics
  • Cardiac Surgical Procedures (methods)
  • Diagnosis, Differential
  • Echocardiography, Transesophageal
  • Endomyocardial Fibrosis (complications, diagnosis, surgery)
  • Female
  • Follow-Up Studies
  • Fontan Procedure (methods)
  • Heart Ventricles (surgery)
  • Humans
  • Magnetic Resonance Imaging, Cine
  • Ventricular Dysfunction, Right (diagnosis, etiology, surgery)
  • Young Adult

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