1. Isolated right ventricular infarction after modified Cabrol operation.
- Author
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Pappy RM, Hanna EB, Peyton MD, and Saucedo JF
- Subjects
- Adult, Aorta pathology, Aortic Valve physiopathology, Cardiovascular Agents therapeutic use, Echocardiography, Female, Graft Occlusion, Vascular diagnosis, Graft Occlusion, Vascular drug therapy, Graft Occlusion, Vascular physiopathology, Heart Failure diagnosis, Heart Failure drug therapy, Heart Failure physiopathology, Humans, Myocardial Infarction diagnosis, Myocardial Infarction drug therapy, Myocardial Infarction physiopathology, Recovery of Function, Thrombosis diagnosis, Thrombosis drug therapy, Thrombosis physiopathology, Time Factors, Tomography, X-Ray Computed, Treatment Outcome, Ventricular Dysfunction, Right diagnosis, Ventricular Dysfunction, Right drug therapy, Ventricular Dysfunction, Right physiopathology, Ventricular Function, Right, Aorta surgery, Aortic Valve surgery, Blood Vessel Prosthesis Implantation adverse effects, Graft Occlusion, Vascular etiology, Heart Failure etiology, Heart Valve Prosthesis Implantation adverse effects, Myocardial Infarction etiology, Thrombosis etiology, Ventricular Dysfunction, Right etiology
- Abstract
We report the case of a 27-year-old woman with a rare presentation of right ventricular failure secondary to isolated right ventricular myocardial infarction, 3 weeks after an uncommon surgical procedure, the modified Cabrol operation. Her medical history also included a Ross procedure at the age of 12 years. On the basis of her subacute presentation and a consultation with cardiac surgeons, we decided on medical management. Follow-up echocardiography at 6 months revealed that the right ventricular systolic function remained severely impaired, but the patient was asymptomatic with excellent functional capacity.We review the surgical techniques of aortic graft replacement and their respective complications. We also discuss the impact of conservative and reperfusion strategies on prognosis and long-term outcomes in the setting of right ventricular infarction.
- Published
- 2012