AI Article Synopsis
- A 52-year-old woman experienced cardiogenic shock and severe right ventricular failure caused by a spontaneous dissection of her right coronary artery, requiring mechanical support for several weeks.
- Two long-term treatment options were considered: a right ventricular assist device and a bidirectional cavopulmonary anastomosis, along with tricuspid valve repair, due to her past cancer diagnosis and potential for heart recovery.
- After surgery, her health greatly improved, leading to her discharge, with echocardiography showing normal right ventricular size and better function.
Article Abstract
We present the case of a 52-year-old woman with cardiogenic shock and refractory right ventricular failure due to spontaneous dissection of the right coronary artery. She remained dependent on mechanical support for several weeks. Both a right ventricular assist device implant and a bidirectional cavopulmonary anastomosis were explored as long-term support options. A history of malignancy and possible right ventricular functional recovery resulted in a decision in favour of the bidirectional cavopulmonary anastomosis and concomitant tricuspid valve annuloplasty. Postoperatively her clinical condition improved significantly, and she could be discharged home. Echocardiography showed normalization of right ventricular dimensions and slight improvement of right ventricular function.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11076147 | PMC |
| http://dx.doi.org/10.1093/ejcts/ezae157 | DOI Listing |
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