Combined endocardiectomy and bidirectional glenn shunt for right ventricular endomyocardial fibrosis

Ann Thorac Surg. 2012 Jan;93(1):310-2. doi: 10.1016/j.athoracsur.2011.06.011.

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.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Surgical Procedures / methods*
  • Diagnosis, Differential
  • Echocardiography, Transesophageal
  • Endomyocardial Fibrosis / complications
  • Endomyocardial Fibrosis / diagnosis
  • Endomyocardial Fibrosis / surgery*
  • Female
  • Follow-Up Studies
  • Fontan Procedure / methods*
  • Heart Ventricles / surgery*
  • Humans
  • Magnetic Resonance Imaging, Cine
  • Ventricular Dysfunction, Right / diagnosis
  • Ventricular Dysfunction, Right / etiology
  • Ventricular Dysfunction, Right / surgery*
  • Young Adult