| Autor: |
Mandoli GE; Department of Cardiovascular Diseases, University of Siena, Siena, Italy., Cameli M; Department of Cardiovascular Diseases, University of Siena, Siena, Italy. matteo.cameli@yahoo.com., Novo G; Department of Cardiology, University of Palermo, Palermo, Italy., Agricola E; Laboratory of Echocardiography, San Raffaele Hospital, Milan, Italy., Righini FM; Department of Cardiovascular Diseases, University of Siena, Siena, Italy., Santoro C; Department of Advanced Biomedical Sciences, Federico II University Hospital, Naples, Italy., D'Ascenzi F; Department of Cardiovascular Diseases, University of Siena, Siena, Italy., Ancona F; Laboratory of Echocardiography, San Raffaele Hospital, Milan, Italy., Sorrentino R; Department of Advanced Biomedical Sciences, Federico II University Hospital, Naples, Italy., D'Andrea A; Division of Cardiology, Monaldi Hospital, Naples, Italy., Galderisi M; Department of Advanced Biomedical Sciences, Federico II University Hospital, Naples, Italy., Mondillo S; Department of Cardiovascular Diseases, University of Siena, Siena, Italy. |
| Abstrakt: |
Cardiac surgical techniques and circulatory supports have strongly evolved in the last years. Right ventricular (RV) function during the post-operatory period is still subject of study, although its relevant prognostic impact has been variably described in different papers. RV post-surgical dysfunction's underlying mechanisms are still not clear and include a different hypothesis. Echocardiography, with both first and second level parameters, offers the possibility to accurately analyze the right ventricle and optimize these patients' management. This paper describes the pathophysiology of the right ventricle, the most used echo indexes of RV function, whether they alter after surgery, the different supposed mechanisms of RV dysfunction and its role in the prognosis of patients undergoing cardiac surgery. |
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