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Perfusion, Vol. 6, No. 4, 275-278 (1991)
DOI: 10.1177/026765919100600406

Successful treatment of acute postperfusion right ventricular failure by atrial septal defect creation

Hassan Raffa

King Fahad Heart Center, Jeddah

Mohamed Taher Kayali

King Fahad Heart Center, Jeddah

Abdool Aniff Sorefan

King Fahad Heart Center, Jeddah

A 14-year-old girl underwent primary total correction of tetralogy of Fallot (TOF). Acute intraoperative postperfusion right ventricular failure was encountered and all trials to wean the patient off cardiopulmonary bypass failed in spite of adequate pharmacological support. Survival was achieved, however, when an atrial septal defect was created and right ventricular decompression was thus established with a consequent increase of left atrial and left ventricular pressures and cardiac output.


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