Magnetic resonance imaging of abnormal ventricular septal motion in heart diseases: a pictorial review

Méndez, Carlos Méndez; Soler, Rafaela; Rodrı́guez, Esther; Lopez, M. Camino; Alvarez, Lucia; Fernández, Noela; Montserrat, Lorenzo

doi:10.1007/s13244-011-0093-4

Cited by 18 publications

(9 citation statements)

References 25 publications

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“…To determine the degree of septal bowing, end-diastolic and endsystolic eccentricity index were assessed at the level of the midpapillary muscles in the short axis view, as the ratio between the LV antero-posterior dimension and the septo-lateral dimension at end-diastole and end-systole. 16…”

Section: Cardiac Mrimentioning

confidence: 99%

Right ventricular adaptation to pressure-overload: Differences between chronic thromboembolic pulmonary hypertension and idiopathic pulmonary arterial hypertension

Braams

Leeuwen

Vonk‐Noordegraaf

et al. 2021

The Journal of Heart and Lung Transplantation

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BACKGROUND: Chronic thromboembolic pulmonary hypertension (CTEPH) and idiopathic pulmonary arterial hypertension (iPAH) are both associated with right ventricular (RV) failure and mortality. However, CTEPH patients are older, more often male and usually have more co-morbidities than iPAH patients, including a history of venous thromboembolism. Therefore, RV adaptation to pressureoverload in CTEPH may be different than in iPAH. METHODS:We included all treatment-naive CTEPH and iPAH patients diagnosed in the Amsterdam UMC between 2000 and 2019 if cardiac magnetic resonance imaging (CMR) and a right heart catheterization were performed at time of diagnosis. Load-dependent RV volumes and mass were assessed with CMR. Load-independent RV contractility, afterload and diastolic stiffness in relation to afterload were obtained using single beat pressure-volume loop analysis. Differences in RV characteristics between CTEPH and iPAH were analyzed using multiple linear regression with interaction testing after correcting for confounders. RESULTS: We included 235 patients in this study and performed pressure-volume loop analysis in 136 patients. In addition to being older and more often male, CTEPH patients had a lower pulmonary vascular resistance than iPAH patients at the time of diagnosis. After correcting for these confounders, CTEPH patients had a somewhat higher RV end-diastolic volume index (87 § 27 ml vs 82 § 25 ml; p < .01), and a lower RV relative wall thickness (0.6 § 0,1 g/ml vs 0.7 § 0,2 g/ml; p < .01).

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Section: Cardiac Mrimentioning

confidence: 99%

Right ventricular adaptation to pressure-overload: Differences between chronic thromboembolic pulmonary hypertension and idiopathic pulmonary arterial hypertension

Braams

Leeuwen

Vonk‐Noordegraaf

et al. 2021

The Journal of Heart and Lung Transplantation

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“…We further evaluated the number of patients with a respiratory-related septal excursion equal to or larger than 11.8%, the previously defined cutoff value using the mean normal value plus 2 SDs [7]. Furthermore, the LV eccentricity index (a surrogate of the extent of RV overload and septal bowing) at both expiration and inspiration was calculated at end-diastole as the superior-inferior LV diameter divided by the anterior-posterior diameter; a value of greater than 1.0 was suggestive of RV overload [14,15] (Fig. 3).…”

Section: Cardiac Mri Analysismentioning

confidence: 99%

Exaggerated Interventricular Dependence Among Patients With Pectus Excavatum: Combined Assessment With Cardiac MRI and Chest CT

Deviggiano

Vallejos

Viña

et al. 2017

American Journal of Roentgenology

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“…Moreover, a hallmark of Ebstein's anomaly is dyssynchrony of the basal septum at the attachment site of the septal leaflet [8]. Although the patient had previously undergone surgical tricuspid valve replacement, residual septal dyskinesis may have also further contributed to worsened MR.…”

Section: Conflict Of Interestmentioning

confidence: 99%

Worsening of Functional Mitral Regurgitation from Septal Dyssynchrony Induced by Ventricular Pacing in Ebstein's Anomaly Undergoing Percutaneous Mitral Valve Repair

Bratincsák¹,

Rhee²,

Nguyen³

et al. 2017

jshd

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A 67-year-old male with Ebstein's anomaly and a dual-chamber pacemaker due to sick sinus syndrome was admitted to our hospital with cardiogenic shock. Echocardiography revealed severe functional mitral valve regurgitation with preserved ejection fraction. He was referred for percutaneous mitral valve repair (PMVR) for refractory shock in the setting of prohibitive surgical risk. Invasive hemodynamics obtained during PMVR revealed worsening mitral regurgitation due to septal dyssynchrony induced by the patient's permanent pacing. He underwent successful PMVR with subsequent clinical recovery. Dyssynchrony from right ventricular apical pacing may exacerbate mitral regurgitation and heart failure. PMVR with MitraClip may be a safe and effective therapeutic option in patients with refractory cariogenic shock and severe mitral regurgitation.

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Magnetic resonance imaging of abnormal ventricular septal motion in heart diseases: a pictorial review

Cited by 18 publications

References 25 publications

Right ventricular adaptation to pressure-overload: Differences between chronic thromboembolic pulmonary hypertension and idiopathic pulmonary arterial hypertension

Right ventricular adaptation to pressure-overload: Differences between chronic thromboembolic pulmonary hypertension and idiopathic pulmonary arterial hypertension

Exaggerated Interventricular Dependence Among Patients With Pectus Excavatum: Combined Assessment With Cardiac MRI and Chest CT

Worsening of Functional Mitral Regurgitation from Septal Dyssynchrony Induced by Ventricular Pacing in Ebstein's Anomaly Undergoing Percutaneous Mitral Valve Repair

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