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

Gigorro, R Garcia; Renes, Emilio; Mayordomo, Sandra; Marin, H; Vela, J.L. Pérez; Peiretti, María Angélica Corres; García-Arriaza, Juan

doi:10.1016/j.jtcvs.2016.04.041

Cited by 31 publications

(10 citation statements)

References 38 publications

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“…Some of these variables are surgical factors, such as the total ischemic time which may lead to RV myocardial injuries. However, longitudinal dysfunction has also been described in different populations undergoing other types of cardiac surgery . Another hypothesis focusses on the delivery method of cardioplegia, with retrograde cardioplegia suspected to decrease the myocardial perfusion of the right ventricle .…”

Section: Discussionmentioning

confidence: 99%

“…However, longitudinal dysfunction has also been described in different populations undergoing other types of cardiac surgery . Another hypothesis focusses on the delivery method of cardioplegia, with retrograde cardioplegia suspected to decrease the myocardial perfusion of the right ventricle . However, mild impairment of RV longitudinal systolic function has equally been reported in patients who sustained a lung transplantation without extracorporeal circulation …”

Section: Discussionmentioning

confidence: 99%

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Impact of right ventricular systolic function after heart transplantation on exercise capacity

et al. 2020

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Background: Right ventricular (RV) systolic parameters are difficult to assess in heart transplant recipients (HTRs) compared to healthy people because of discordant data, and their impact on exercise capacity remains undefined. We sought to retrospectively assess the impact of RV systolic function on exercise capacity after heart transplantation. Methods:We analyzed data from 61 HTRs who underwent transthoracic echocardiography (TTE), cardiac magnetic resonance imaging (CMR), and exercise capacity assessment by 6-minute walking test (6MWT) and cardiopulmonary exercise testing (CPET) at 1-and 2-year follow-ups. Results: Transthoracic echocardiography RV longitudinal systolic function includingtricuspid annular plan systolic excursion (TAPSE), peak systolic S′ wave tricuspid annular velocity (PSVtdi) and RV free wall longitudinal strain was decreased at 1 year (respectively, 15 ± 3 mm, 10 ± 3 cm/s, and −19 ± 5%) and at 2 years (respectively, 15 ± 3 mm, 10 ± 2 cm/s, and −20 ± 5%) with no significant difference between both evaluations; meanwhile, RV ejection fraction (RVEF) measured by CMR was preserved. Mean percentage of predicted peak oxygen consumption was altered, but improved between the first and second year (55 ± 18 vs 60 ± 18%, P = .038). PSVtdi was weakly correlated with 6MWT distance (r = .426, P = .017) and RVEF with the predicted distance at 6MWT (r = .410, P = .027) at the 1-year follow-up. Conclusions: Despite decreasing values, RV longitudinal systolic function has a weak impact on exercise capacity of HTRs. PSVtdi and RVEF are the most pertinent parameters to assess the impact of RV systolic function on exercise capacity after heart transplantation. These results should lead to redefine normal RV systolic function thresholds for HTRs. K E Y W O R D S cardiopulmonary exercise testing, echocardiography, functional capacity, heart transplantation, right ventricle | 707 VERSET ET al.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of right ventricular systolic function after heart transplantation on exercise capacity

et al. 2020

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“…In addition to the report by Yoda et al showing a significant relationship between recurrent TR after TAP and preoperative RV enlargement, Bokma et al suggested that RV dilation was associated with adverse events after surgery for functional TR and PR with repaired TOF [ 2 ]. Thus, the evaluation of RV is considered to be important, and CMR, which is the gold standard for RV evaluation and TAPSE is useful because it is simple and non-invasive [ 8 ]. These examinations may provide additional insight into the relationship between recurrent TR after TAP and right ventricular function.…”

Section: Discussionmentioning

confidence: 99%

Right-sided double valve replacement in an adult patient who underwent surgery for pulmonary stenosis in childhood: a case report

Kobayashi

Uchida

Kuroda

et al. 2020

J Cardiothorac Surg

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Background: Pulmonary regurgitation and the subsequent functional tricuspid regurgitation are frequently observed in adult patients who previously underwent pulmonary valvular operations. Pulmonary valve replacement, in combination with tricuspid annuloplasty, is frequently performed in adult patients. However, postoperative worsening or recurrence of tricuspid regurgitation is a major concern after pulmonary valve replacement with tricuspid annuloplasty. Case presentation: Herein, we describe the case of a 56-year-old woman with severe pulmonary regurgitation and functional tricuspid regurgitation after congenital pulmonary stenosis surgery in childhood. Functional tricuspid regurgitation was due to tricuspid annular dilatation, marked right ventricle enlargement, and significant tethering. We performed a bioprosthetic double valve replacement, and the postoperative course was uneventful. The patient is doing well one year after the surgery without prosthetic valve dysfunction. Conclusions: When functional tricuspid regurgitation is severe and is associated with right ventricular dilatation and subsequent tethering, tricuspid valve replacement rather than annuloplasty should be considered.

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“…W zaleceniach podkreśla się, że jest to wskaźnik zależny od funkcji włókien podłużnych mięśnia RV, ale ponieważ objętość wyrzutowa RV w głów-nym stopniu zależy od ich funkcji, to wskaźnik ten dobrze odzwierciedla globalną czynność skurczową RV [16][17][18]. Pomiar nie jest czasochłonny i w mniejszym stopniu (niż powyżej opisywane wskaźniki) zależy od jakości obrazu.…”

Section: Maksymalna Skurczowa Prędkość S'unclassified

Echokardiograficzna ocena prawych jam serca w praktyce klinicznej w świetle zaleceń ekspertów z 2015 roku

Błażejewski

Sinkiewicz

2017

Folia Cardiologica

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

Abstract: TAPSE is a robust measure of right ventricular function that correlates with RVEF assessed by pulmonary artery catheter. A noninvasive method such as echocardiography can guide and support invasive monitoring of right ventricular function in cardiac surgical patients.

Cited by 31 publications

References 38 publications

Impact of right ventricular systolic function after heart transplantation on exercise capacity

Impact of right ventricular systolic function after heart transplantation on exercise capacity

Right-sided double valve replacement in an adult patient who underwent surgery for pulmonary stenosis in childhood: a case report

Echokardiograficzna ocena prawych jam serca w praktyce klinicznej w świetle zaleceń ekspertów z 2015 roku

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