Preoperative Assessment of Left Ventricular Diastolic Function and Right Ventricular Systolic Function Have Independent and Incremental Prognostic Value in Prediction of Early Postoperative Mortality in Redo Valve Surgery

Mordi, Ify; Al‐Attar, Nawwar; Tzemos, Nikolaos

doi:10.1111/echo.12725

Cited by 3 publications

(1 citation statement)

References 37 publications

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“…Finally, Mordi et al have shown how a comprehensive preoperative echocardiography assessment of LV diastolic and RV systolic function carries an independent prognostic value (HR 8.76 and HR 4.97 respectively, p < 0.01) in predicting 30-day postoperative mortality among patients undergoing redo valve surgery, increasing the prognostic power of EuroSCORE II at c-statistic from 0.76 to 0.83 [ 62 ].…”

Section: Right Ventricular Dysfunction: Too Late For Surgery?mentioning

confidence: 99%

Speckle tracking echocardiography in primary mitral regurgitation: should we reconsider the time for intervention?

et al. 2021

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Thanks to the improvement in mitral regurgitation (MR) diagnostic and therapeutic management, with the introduction of minimally invasive techniques which have considerably reduced the individual surgical risk, the optimization of the timing for MR “open” or percutaneous surgical treatment has become a main concern which has highly raised scientific interest. In fact, the current indications for intervention in MR, especially in asymptomatic patients, rely on echocardiographic criteria with high severity cut-offs that are fulfilled only when not only mitral valve apparatus but also the cardiac chambers’ structure and function are severely impaired, which results in poor benefits for post-operative clinical outcome. This led to the need of new indices to redefine the optimal surgical timing in these patients. Speckle tracking echocardiography provides early markers of cardiac dysfunction due to subtle myocardial impairment; therefore, it could offer pivotal information in this setting. In fact, left ventricular and left atrial strains have already shown evidence about their usefulness in recognizing MR impact not only on symptoms and quality of life but also on cardiovascular events and new-onset atrial fibrillation in these patients. Moreover, right ventricular strain could be used to identify those patients with advanced cardiac damage and different grades of right ventricular dysfunction, which entails higher risks for cardiac surgery that could overweigh surgical benefits. This review aims to describe the importance of reconsidering the timing of intervention in MR and to analyze the potential additive value of speckle tracking echocardiography in this clinical setting.

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Section: Right Ventricular Dysfunction: Too Late For Surgery?mentioning

confidence: 99%

Speckle tracking echocardiography in primary mitral regurgitation: should we reconsider the time for intervention?

et al. 2021

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Cardiac Stress in High-Risk Patients Undergoing Major Endovascular Surgery—Focus on Diastolic Function

Zawadka

Marchel

Dudek

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

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Transcatheter Pulmonary Valve Replacement

Saji

2020

Ped Cardiol Card Surg

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Since percutaneous balloon pulmonary valvuloplasty for pulmonary valve stenosis (PS) was rst successfully performed using a ureteral catheter in 1950s, BPV has become standard of care for treatment of isolated PS over surgical valvotomy. Based on the experience, percutaneous pulmonary valve implantation (PPVI) was performed by Bonhoe er et al. in patient with a dysfunctional of right ventricle-to-pulmonary artery conduit. In 2010, the Melody valve (Medtronic, Minneapolis, MN) became commercially available in the United States (US) under a humanitarian device exemption protocol, and more recently, was awarded post market approval by the US Food and Drug Administration. Since then, PPVI has been performed for over 4,500 patients in more than 30 countries worldwide. Transcatheter aortic valve replacement (TAVR) has recently became the standard therapy in patients with aortic stensis, and based on this technology, transcatheter pulmonary valve replacement (TPVR) and valve-in-valve procedure has also been able to be performed in patients with adult congenital heart disease. In conformity with heart team approach, hybrid procedures with mutual collaboration from cardiac surgery and interventional cardiology will likely shape the future TPVR. In this chapter, we will review BPV and PPVI/TPVR with particular focus on the indication, technical aspect, clinical outcomes, and potential complications.

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Preoperative Assessment of Left Ventricular Diastolic Function and Right Ventricular Systolic Function Have Independent and Incremental Prognostic Value in Prediction of Early Postoperative Mortality in Redo Valve Surgery

Cited by 3 publications

References 37 publications

Speckle tracking echocardiography in primary mitral regurgitation: should we reconsider the time for intervention?

Speckle tracking echocardiography in primary mitral regurgitation: should we reconsider the time for intervention?

Cardiac Stress in High-Risk Patients Undergoing Major Endovascular Surgery—Focus on Diastolic Function

Transcatheter Pulmonary Valve Replacement

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