European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 11 2 2024, Pages ezae157 Glenn shunt as a rescue strategy for acute right ventricular failure after right ventricular myocardial infarction. den Haan MC, Palmen M, Egorova AD, Hazekamp MG
We present a case of a 52-year old woman with cardiogenic shock (CS) with refractory right ventricular (RV) failure due to spontaneous dissection of the right coronary artery (RCA). She remained dependent on mechanical support for several weeks and both RV assist device (RVAD) implantation and bidirectional cavopulmonary anastomosis (BCPA) were explored as long-term support options. History of malignancy and possible RV functional recovery resulted in a decision in favour of BCPA and concomitant tricuspid valve (TV) annuloplasty. Postoperatively her clinical condition improved significantly and she could be discharged home. Echocardiography showed normalization of RV dimensions and slight improvement of RV function.
