Tricuspid annular plane systolic excursion is significantly reduced during uncomplicated coronary artery bypass surgery: A prospective observational study

Korshin, André; Grønlykke, Lars; Nilssøn, Jens; Møller‐Sørensen, Hasse; Ihlemann, Nikolaj; Kjøller, Sven Morten; Damgaard, Sune; Lehnert, Per; Hassager, Christian; Kjærgaard, Jesper; Ravn, Hanne Berg

doi:10.1016/j.jtcvs.2018.09.114

Cited by 25 publications

(16 citation statements)

References 31 publications

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“…In agreement with our study, 50 patients underwent CABG were included in a study by Korshin, et al [11], who found signi icant reduction in TAPSE after surgery [11].…”

Section: Discussionsupporting

confidence: 90%

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Evaluation of the effect of coronary artery bypass grafting on the right ventricular function using speckle tracking echocardiography

Abdelmoneum¹,

Elmeligy²,

Eldarky³

et al. 2019

J Cardiol Cardiovasc Med

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Purpose: This was a prospective study conducted at Benha University hospital and National Heart Institute on one hundred patients undwent coronary artery bypass grafting (CABG) to evaluate the effect of CABG on the right ventricular (RV) function using speckle tracking echocardiography (STE). Methods: All cases were subjected to detailed medical history, full physical examination, 12 leads electrocardiogram (ECG), routine laboratory tests including (complete blood picture, liver functions, renal functions and lipid profi le) and echocardiography either conventional echocardiography or STE, all parameters obtained before and within 2 weeks after surgery. Results: By conventional echocardiography there was statistically signifi cant decrease in peak right ventricle systolic velociy (RVS´) from (12.76 ± 1.72) to (7.33 ± 1.71) and tricuspid annular plane systolic excursion (TAPSE) from (22.8 ± 3.99) to (13.77 ± 4.63) among the studied patients after CABG. While there was signifi cant increase in right ventricle fractional area change (RVFAC) from (44.69 ± 3.25) to (49.01 ± 3.36). On the other hand, there was non-signifi cant change in right ventricle end diastolic diameter (RVEDD) at mid-cavity from (26.37 ± 2.72) to (26.53 ± 2.72) and basal segment from (36.05 ± 2.98) to (36.29 ± 3.04), right ventricle stroke volume (RVSV) from (65.44 ± 7.02) to (65.85 ± 6.86) and right myocardial performance index (RMPI) from (0.491 ± 0.088) to (0.498 ± 0.086). Statistical analysis Data analysis was performed using the software SPSS (Statistical Package for the Social Sciences) version 20.

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“…In agreement with our study, 50 patients underwent CABG were included in a study by Korshin, et al [11], who found signi icant reduction in TAPSE after surgery [11].…”

Section: Discussionsupporting

confidence: 90%

“…Also in harmony with us among ifty patients were included in the Korshin, et al, [11], study, the gender distribution revealed more male than female patients [11].…”

Section: Discussionmentioning

confidence: 51%

Evaluation of the effect of coronary artery bypass grafting on the right ventricular function using speckle tracking echocardiography

Abdelmoneum¹,

Elmeligy²,

Eldarky³

et al. 2019

J Cardiol Cardiovasc Med

View full text Add to dashboard Cite

show abstract

“…Previous reports suggested that the RV function evaluated by the tricuspid annular plane systolic excursion (TAPSE), or the systolic tricuspid annular velocity (RV S'), is impaired after cardiac surgery. [1][2][3][4] These findings have been corroborated by deformation analysis assessing the longitudinal contraction of the RV lateral free wall. 5,6 In contrast, RV ejection fraction (EF), or RV fractional area change (FAC), seems to remain stable immediately postoperatively.…”

mentioning

confidence: 55%

Perioperative Changes of Right Ventricular Function in Cardiac Surgical Patients Assessed by Myocardial Deformation Analysis and 3-Dimensional Echocardiography

Donauer

Schneider

Jander

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

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Objectives: To test the hypothesis that longitudinal strain of the right ventricle (RV) is significantly reduced in patients undergoing cardiac surgery with extracorporeal circulation and cardioplegic cardiac arrest at the end of surgery, whereas RV ejection fraction remains unchanged. Design: Prospective observational cohort study. Setting: Single university hospital. Participants: Thirty patients with normal myocardial function undergoing coronary artery bypass grafting with cardioplegic cardiac arrest. Interventions: Right ventricular 3-dimensional echocardiography and strain analysis were performed preoperatively, intraoperatively, and postoperatively. Measurements and Main Results: Peak longitudinal systolic strain of the RV lateral and inferior wall, RV outflow tract, and interventricular septum was reduced significantly at the end of surgery after sternal closure compared to preoperatively (lateral: À16 § 5 v À22 § 4, p < 0.001; inferior: À12 § 4 v À19 § 5, p < 0.001; outflow tract, À11 § 5 v. À20 § 6, p < 0.001; septum: À9 § 3 v À14 § 4, p < 0.001), whereas peak circumferential systolic strain of the RV lateral wall had increased significantly (À16 § 4 v-12 § 5, p = 0.008). Right ventricular ejection fraction remained stable (51 § 6% v. 50 § 7%, p = 0.34). Conclusion: In patients undergoing coronary artery bypass grafting with cardioplegic cardiac arrest, the longitudinal contraction of the RV lateral and inferior wall, the RV outflow tract, and the interventricular septum is impaired at the end of surgery. This impairment is compensated by an increase in circumferential contraction without changes in RV ejection fraction.

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“…Post cardiopulmonary bypass (CPB) right ventricular (RV) dysfunction has been extensively described in cardiac surgery in past years, and attributed to either cardioplegia, myocardial hypothermia, cardiac stunning, and pericardiectomy [1][2][3]. More recently, both a different contraction pattern [4,5] and a dissociation of RV output from RV longitudinal contraction [6] have been described in this context, leading to some re-interpretation of what previously observed.…”

mentioning

confidence: 89%

The right ventricle after cardiopulmonary bypass: new insights on its adaptive physiology

Via

Tavazzi

Bendjelid

2020

J Clin Monit Comput

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Tricuspid annular plane systolic excursion is significantly reduced during uncomplicated coronary artery bypass surgery: A prospective observational study

Cited by 25 publications

References 31 publications

Evaluation of the effect of coronary artery bypass grafting on the right ventricular function using speckle tracking echocardiography

Evaluation of the effect of coronary artery bypass grafting on the right ventricular function using speckle tracking echocardiography

Perioperative Changes of Right Ventricular Function in Cardiac Surgical Patients Assessed by Myocardial Deformation Analysis and 3-Dimensional Echocardiography

The right ventricle after cardiopulmonary bypass: new insights on its adaptive physiology

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