Kowatari R, Daitoku K, Yamazaki S, Minakawa M. Concomitant surgery for double-chambered right ventricle and coronary stenosis.
J Card Surg 2022;
37:700-703. [PMID:
34996125 DOI:
10.1111/jocs.16215]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 12/19/2021] [Accepted: 12/27/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND AND AIMS
The clinical data of coronary artery disease in patients with double-chambered right ventricle are limited. We report an adult double-chambered right ventricle case with three-vessel coronary artery disease that was successfully treated with concomitant double-chambered right ventricle repair and coronary artery bypass grafting.
MATERIALS AND METHODS
The patient case data was extracted from hospital records.
RESULTS
The patient was the case of a 60-year-old man with a double-chambered right ventricle and three-vessel coronary artery disease. He underwent concomitant surgery comprising double-chambered right ventricle repair and coronary artery bypass grafting. Achieving cardiac arrest allowed us to obtain a good surgical view of the heavy and severely hypertrophied heart. Postoperative computed tomography revealed a feasible running course of the sequential graft, indicating that the path of the sequential graft should be clockwise (aorto-right coronary-left circumflex artery) in this unusual anatomical condition.
DISCUSSION AND CONCLUSION
We report this rare disease combination and highlight the need for careful preoperative planning in such cases.
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