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Contained rupture of right ventricular outflow tract after Rastelli-type operation

Published online by Cambridge University Press:  09 January 2020

Takuji Watanabe Open the ORCID record for Takuji Watanabe [Opens in a new window] ,
Kyoichi Nishigaki  and
Yoichi Kawahira Open the ORCID record for Yoichi Kawahira [Opens in a new window]
Takuji Watanabe*
Affiliation:
Department of Pediatric Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan
Kyoichi Nishigaki
Affiliation:
Department of Pediatric Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan
Yoichi Kawahira
Affiliation:
Department of Pediatric Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan
*
Author for correspondence: Takuji Watanabe, MD, Department of Pediatric Cardiovascular Surgery, Osaka City General Hospital, 2-13-22 Miyakojimahondori, Miyakojimaku, Osaka, 534-0021, Japan. Tel: 81-6-6929-1221, Fax: 81-6-6929-1091; E-mail: takuji.w@gmail.com
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Abstract

This report describes a 3-year-old infant with post-operative mediastinitis complicated by a contained rupture of the right ventricle. A contained rupture is recognised as the huge pulsating prominence of the anterior chest wall. CT confirmed blood communication between the right ventricular outflow tract and the cavity surrounded by the pectoral major musculocutaneous flap. This is a significant case in which severe adhesion between the right ventricle and the musculocutaneous flap could maintain her stable haemodynamics with a pulsating prominence.

Keywords

Post-operative mediastinitiscontained ruptureright ventricular outflow tractRastelli-type operationmusculocutaneous flapCT
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 1 , January 2020 , pp. 134 - 135
Copyright
© Cambridge University Press 2020

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References

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