Coronary blood supply of the inferior wall of the right ventricle in hearts with Ebstein malformation: relevance to vertical plication Iki Adachi, MD,

Slides:

Advertisements

Similar presentations

Blood supply of the Heart

Advertisements

 Arterial Supply  Right coronary artery  Left coronary artery  Venous Drainage  Venae cordis minimis  Anterior cardiac veins  Coronary sinus.

Morphologic Spectrum of Ventriculoarterial Connection in Hearts With Double Inlet Left Ventricle: Implications for Surgical Procedures Hideki Uemura, MD,

Uterine leiomyoma extension into right atrium: A case report

Manuel J. Antunes, MD, PhD, DSc

Total anomalous pulmonary venous connection: Results of surgical repair of 100 patients at a single institution Angela M. Kelle, BS, Carl L. Backer,

Incomplete midline atrial chamber in a symptom-free adult: An enigma?

Morphologic features of atrioventricular septal defect with only ventricular component: Further observations pertinent to surgical repair Iki Adachi,

Tricuspid Valve Repair for Ebstein's Anomaly

Anatomic aspects of the atrioventricular junction influencing radiofrequency Cox maze IV procedures Manuel Castellá, MD, PhD, Antonio García-Valentín,

The practical clinical value of three-dimensional models of complex congenitally malformed hearts Eugénie Riesenkampff, MD, Urte Rietdorf, MSc, Ivo Wolf,

Cardiac pheochromocytoma

Mitral leaflet anatomy revisited

An alternate approach to valve replacement in patients with mitral stenosis and severely calcified annulus Sameh M. Said, MD, Hartzell V. Schaff, MD

Morphologic Spectrum of Ventriculoarterial Connection in Hearts With Double Inlet Left Ventricle: Implications for Surgical Procedures Hideki Uemura,

Cardiac lipoma arising from left ventricular papillary muscle: Resect or not? Young Sam Kim, MD, Kyung Hee Lee, MD, PhD, Suk Jin Choi, MD, PhD, Wan Ki.

Hideki Uemura, MD, Iki Adachi, MD, Karen P

Major complications during negative pressure wound therapy in poststernotomy mediastinitis after cardiac surgery Rainer Petzina, MD, PhD, Malin Malmsjö,

Suyog A. Mokashi, MD, Lawrence S. Lee, MD, Jan D

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

Intra-atrial rerouting by the posterior left atrial wall flap for total anomalous pulmonary venous return drainage into the coronary sinus in neonates

Federico Milla, MD, Nikolaos Skubas, MD, William M

Ventricular morphology and coronary arterial anatomy in hearts with isomeric atrial appendages Hideki Uemura, MD, Siew Yen Ho, PhD, Robert H Anderson,

Daniel Schmauss, MD, Nicolas Gerber, MSc, Ralf Sodian, MD

Surgical ablation for atrial fibrillation: The efficacy of a novel bipolar pen device in the cardioplegically arrested and beating heart Shun-ichiro.

Joseph A. Dearani, MD, Sameh M. Said, MD, Harold M

Right ventricular architecture responsible for mechanical performance: Unifying role of ventricular septum Gerald Buckberg, MD, Julien I.E. Hoffman,

Jong Hun Kim, MD, Jong Bum Choi, MD

The lord of the rings Antonio Miceli, MD, PhD

Hideki Uemura, MDa,b, Siew Yen Ho, PhDa, Robert H

Morphologic spectrum of truncal valvar origin relative to the ventricular septum: Correlation with the size of ventricular septal defect Iki Adachi,

Successful surgical treatment of hypoplastic left heart syndrome associated with a divided left atrium that was diagnosed intraoperatively Yuji Naito,

Evaluation of right ventricular function after cardiac surgery: The importance of tricuspid annular plane systolic excursion and right ventricular ejection.

Myriad manifestations of myxoma

The effect of pure mitral regurgitation on mitral annular geometry and three-dimensional saddle shape Tom C. Nguyen, MD, Akinobu Itoh, MD, Carl J. Carlhäll,

Ventricularization of the atrialized chamber: A concept of Ebstein's anomaly repair Michael V. Ullmann, MD, Sabine Born, MD, Christian Sebening, MD, Matthias.

Maher N. Abadeer, MD, Peter C. Kouretas, MD, PhD, Ronald K

Carl L. Backer, MD, Osama Eltayeb, MD, Michael C. Mongé, MD, John M

Factors affecting late survival after surgical remodeling of left ventricular aneurysms Hooshang Bolooki, MD, Eduardo DeMarchena, MD, Stephen M Mallon,

Muralidhar Padala, BS, Nikolay V. Vasilyev, MD, James W

Anatomic repair of Ebstein's anomaly with isolated anterior leaflet downward displacement Qingyu Wu, MD, Guangyu Pan, MD, Hongyin Li, MD, Xiangchen Kong,

Right ventricular failure after cardiac surgery: Why can't right ventricular assist device support fix the problem? Francis D. Pagani, MD, PhD The Journal.

Mitral valve replacement for inflow obstruction of left ventricular assist device in a child with restrictive cardiomyopathy Hari Tunuguntla, MD, Susan.

A novel atrial volume reduction technique to enhance the Cox maze procedure: Initial results Akira Marui, MD, PhD, Takeshi Nishina, MD, PhD, Keiichi.

Anna Marciniak, PhD, Georgios T

Coronary artery thromboembolism as a result of left ventricular sump aneurysm after congenital heart surgery Timothy B. Cotts, MD, Felix J. Rogers, DO,

Luís Roberto Gerola, MD, PhD, Hyong C

Morphologic spectrum of ebstein's malformation: Revisitation relative to surgical repair Christian Schreiber, MD, Andrew Cook, BSc, Siew Yen Ho, PhD,

Tae-Jin Yun, MD, PhD, Seung-Hyun Lee, MD, Jae-Kon Ko, MD, PhD

Cardiac arrhythmia in patients undergoing surgical repair of Ebstein’s anomaly Sylvain M Chauvaud, MD, Gianluca Brancaccio, MD, Alain F Carpentier, MD,

Yinsu Zhu, MD, Lijun Tang, MD, PhD, Yi Xu, MD

Iki Adachi, MD, Siew Yen Ho, PhD, FRCPath, Karen P

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Management of Catheter-Related injuries to the coronary sinus

The relationship of the outlet septum to the aortic outflow tract in hearts with interruption of the aortic arch Hala M.F. Al-Marsafawy, MD*, Siew Yen.

Right ventricular exclusion procedure for right ventricular failure of Ebstein's anomaly Sungkyu Cho, MD, Woong-Han Kim, MD, PhD, Jae Gun Kwak, MD, Chun.

Functional tricuspid pathology: To treat or not to treat

Preserving the V-engine shape of the left ventricle with Melody mitral valve replacement in small children Patrick O. Myers, MD The Journal of Thoracic.

Prioritizing quality improvement in pediatric cardiac surgery

Sewing needles embedded in the cardiac interventricular septum and chest wall Stephanie L. Mick, MD, Ibrahim Abdullah, MD, Vakhtang Tchantchaleishvili,

Revival and modification of the Mustard operation

Uterine leiomyoma extension into right atrium: A case report

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

The future of cardiac surgery training: A survival guide

Mechanical left ventricular unloading to prevent recurrent myocardial rupture Stephen Westaby, MS, PhD, Vipin Mehta, MD, Fidelma Flynn, MD, Neil Wilson,

Commentary: Judgment day: Should you add atrial fibrillation ablation?

Aneurysmal right coronary with fistula to the coronary sinus combined with severe stenosis of the left anterior descending artery: A snake on the heart

Lipomatous septal hypertrophy

Giant right coronary artery aneurysm with a huge intramural thrombus

Presentation transcript:

Coronary blood supply of the inferior wall of the right ventricle in hearts with Ebstein malformation: relevance to vertical plication Iki Adachi, MD, Siew Yen Ho, PhD, FRCPath, FESC, Karen P. McCarthy, BS, Hideki Uemura, MD, FRCS The Journal of Thoracic and Cardiovascular Surgery Volume 136, Issue 6, Pages 1437-1441 (December 2008) DOI: 10.1016/j.jtcvs.2008.06.029 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Diagram of inferior (diaphragmatic) surface of heart, seen by lifting up cardiac apex to show coronary arterial blood supply of inferior ventricular wall. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1437-1441DOI: (10.1016/j.jtcvs.2008.06.029) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Schematic illustrations of ventricles in cross-section showing vertical plication of atrialized right ventricle (RV). In Carpentier method or its modification, plication procedure is not simple folding of right ventricular free wall (left). Instead, right ventricular free wall is folded against septum (right). When there is rightward deviation of posterior descending branch, branch compromise would be more likely in adjacent than in free wall plication. LV, Left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1437-1441DOI: (10.1016/j.jtcvs.2008.06.029) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Photographs illustrating inferior wall surface of 2 hearts with Ebstein malformation displayed in same orientation as diagram in Figure 1. Longitudinal fold (between small arrows) was made in each heart to simulate surgical vertical plication of atrialized chamber. Posterior descending branch is indicated by red dotted line, and accompanying vein (middle cardiac vein) is marked by blue dotted line. A, Heart has posterior descending branch with rightward deviation. Inset in lower right corner is higher magnification of boxed area. Posterior descending branch and its venous counterpart are involved with plication procedure. B, Longitudinal suture line is extended from ventricular cavity to atrium as described in literature,4-6 so that reduction of tricuspid annulus is accomplished. In this heart, posterior descending branch runs exactly on septum and therefore is free from any compromise. This tricuspid annular reduction makes atrioventricular groove distorted, however, resulting in kinking of right coronary artery along groove (arrowhead in inset, which represents angled view of boxed area). Sutures on both heart specimens are to secure previous incisions. The Journal of Thoracic and Cardiovascular Surgery 2008 136, 1437-1441DOI: (10.1016/j.jtcvs.2008.06.029) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions