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Bidirectional Cavopulmonary Shunt for Isolated Right Ventricular Endomyocardial Fibrosis  

서영준 (계명대학교 의과대학 동산의료원 흉부외과학교실)
이덕헌 (계명대학교 의과대학 동산의료원 흉부외과학교실)
박남희 (계명대학교 의과대학 동산의료원 흉부외과학교실)
최세영 (계명대학교 의과대학 동산의료원 흉부외과학교실)
유영선 (계명대학교 의과대학 동산의료원 흉부외과학교실)
Publication Information
Journal of Chest Surgery / v.36, no.7, 2003 , pp. 523-526 More about this Journal
Abstract
A 44-year-old man had been admitted for dyspnea on exertion and abdominal distension. The echocardiography revealed abnormal mass in right atrium and tricuspid valve stenosis with right ventricular obliteration. The operation was performed with mass removal, enlargement of tricuspid valve opening, and right ventricular endocardiectormy. And then, atrial septal defect was made due to inadequate right ventricular volume. The patient's symptom was improved and he discharged without events. The endomyocardial fibrosis was diagnosed with microscopic examination. Eighteen months later, the patient was readmitted due to aggravated dyspnea and cyanosis. The right ventricular obliteration was progressed and pulmonary blood flow was severely decreased in follow up echocardiography. Palliative bidirectional cave-pulmonary shunt was performed due to functional single ventricle. The dyspnea and cyanosis was markedly improved. Bidirectional cavo-pulmonary shunt for advanced and isolated right ventricular endomyocardial fibrosis provided effective palliation at early postoperative period, However, long-term follow up is mandatory.
Keywords
Endomyocardial fibrosis; Bidirectional cavo-pulmonary shunt; Shunt;
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