Prognostic value of biventricular function in hypotensive patients after cardiac surgery as assessed by transesophageal echocardiography

Reichert, Constant L.A.; Visser, Cees A.; Brink, R. B. A. van den; Koolen, Jacques; Wezel, Harry B. van; Moulijn, Adriaan C.; Dunning, Arend J.

doi:10.1016/1053-0770(92)90008-u

Cited by 82 publications

(38 citation statements)

References 12 publications

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“…In small retrospective studies, preoperative RV systolic dysfunction predicted late survival after coronary artery bypass surgery and mitral valve surgery. 54,73 In the hemodynamically unstable postoperative cardiac patient, Reichert and colleagues 74 showed that RV systolic dysfunction was associated with an increased risk of mortality.…”

Section: Cardiac Surgerymentioning

confidence: 99%

Right Ventricular Function in Cardiovascular Disease, Part II

et al. 2008

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R ight ventricular (RV) function may be impaired in pulmonary hypertension (PH), congenital heart disease (CHD), and coronary artery disease and in patients with left-sided heart failure (HF) or valvular heart disease. In recent years, many studies have demonstrated the prognostic value of RV function in cardiovascular disease. In the past, however, the importance of RV function has been underestimated. This perception originated from studies on openpericardium dog models and from the observation that patients may survive without a functional subpulmonary RV (Fontan procedure). In the 1940s, studies using openpericardium dog models showed that cauterization of the RV lateral wall did not result in a decrease in cardiac output or an increase in systemic venous pressure. 1-3 As was later demonstrated, the open-pericardium model did not take into account the complex nature of ventricular interaction. In 1982, Goldstein and colleagues 2 showed that RV myocardial infarction (RVMI) in a closed-chest dog model led to significant hemodynamic compromise. These findings were further supported by clinical studies demonstrating an increased risk of death, arrhythmia, and shock in patients with RVMI. 4 The study of the RV is a relatively young field. In 2006, the National Heart, Lung, and Blood Institute identified RV physiology as a priority in cardiovascular research. 5 The goal of this review is to present a clinical perspective on RV physiology and pathobiology. In the first article of the series, the anatomy, physiology, embryology, and assessment of the RV were discussed. In this second part, we discuss the pathophysiology, clinical importance, and management of RV failure.

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Section: Cardiac Surgerymentioning

confidence: 99%

Right Ventricular Function in Cardiovascular Disease, Part II

et al. 2008

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“…The presence of RV failure after cardiac surgery is associated with the highest mortality ranging from 37% to 90%. [8][9][10] Our group has previously documented the changes in RV structure, systolic function and diastolic function after CABG 5 but it has not been reported in valvular surgery.…”

Section: Introductionmentioning

confidence: 99%

Right Ventricular Depression After Cardiopulmonary Bypass for Valvular Surgery

Denault

Couture²,

Beaulieu

et al. 2015

Journal of Cardiothoracic and Vascular Anesthesia

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“…Presence of right ventricular systolic dysfunction is commonly missed in critically ill patients 11 and is associated with increased mortality in cardiac surgery. 26,27 The echocardiographic signs of right ventricular DD are right atrial, ventricular and hepatic vein dilatation, and abnormal tricuspid annulus displacement. 28,29 The presence of right ventricular DD has been reported as the most common echocardiographic abnormality in a series of haemodynamically-unstable patients monitored in the ICU after cardiac surgery.…”

Section: Discussionmentioning

confidence: 99%

Early myocardial dysfunction following subarachnoid haemorrhage

McLaughlin

Denault

2005

British Journal of Neurosurgery

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Like systolic dysfunction (SD), diastolic dysfunction (DD) has recently been proposed as a contributing factor in haemodynamic instability and in the genesis of pulmonary oedema, but its occurrence in subarachnoid haemorrhage (SAH) patients has not been described. Following aneurysmal SAH, three patients arrived at our institution with haemodynamic instability requiring vasoactive drugs and with pulmonary oedema. Transoesophageal echocardiographic study during aneurysm surgery documented mild to severe left ventricular SD and DD. Right ventricular SD and DD were also present. Documented biventricular systolic and diastolic myocardial dysfunctions may contribute to haemodynamic instability and pulmonary oedema following SAH due to intracranial aneurysmal rupture.

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Prognostic value of biventricular function in hypotensive patients after cardiac surgery as assessed by transesophageal echocardiography

Cited by 82 publications

References 12 publications

Right Ventricular Function in Cardiovascular Disease, Part II

Right Ventricular Function in Cardiovascular Disease, Part II

Right Ventricular Depression After Cardiopulmonary Bypass for Valvular Surgery

Early myocardial dysfunction following subarachnoid haemorrhage

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