Echocardiographic Assessment of Right Ventricular Function Before and After Surgery in Patients with Pectus Excavatum and Right Ventricular Compression
| Autor: | Osman Bolca, Hale Yilmaz, Sukru Aksoy, Ufuk Gürkan, Dilaver Oz, Aydın Rodi Tosu, Bülent Aydemir, Barış Güngör, Haldun Akgöz |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Adolescent Ventricular Dysfunction Right Diastole Pulmonary Artery Doppler echocardiography Ventricular Function Left Young Adult Pectus excavatum Predictive Value of Tests Internal medicine medicine.artery medicine Humans Arterial Pressure Orthopedic Procedures In patient Prospective Studies Echocardiography Doppler Pulsed Ejection fraction medicine.diagnostic_test business.industry Recovery of Function Surgical correction Compression (physics) medicine.disease Surgery Treatment Outcome Funnel Chest Pulmonary artery Ventricular Function Right Cardiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Thoracic and Cardiovascular Surgeon. 62:231-235 |
| ISSN: | 1439-1902 0171-6425 |
| Popis: | Background We aimed to evaluate the effect of surgical repair on right ventricular (RV) function in patients with pectus excavatum (PE) and RV compression by Doppler echocardiography. Materials and Methods Twenty-three patients who were admitted to our hospital for surgical correction of PE between 2009 and 2012 were included in the study. After transthoracic echocardiographic evaluation, 16 patients with RV compression were enrolled. All patients were males (100%) with a mean age of 20.5 ± 5.6 years. Transthoracic echocardiography was repeated 1 month after surgery. Echocardiographic evaluation included the assessment of RV diastolic diameter, tricuspid annular plane systolic excursion (TAPSE), pulsed tissue Doppler systolic velocity (S′), RV isovolumic acceleration (RV IVA), systolic pulmonary artery pressure, left ventricular (LV) ejection fraction, and myocardial performance indexes of both the right and the left ventricles (Tei index). Results Following the surgery, the RV end-diastolic diameter, TAPSE, S′, and RV IVA were found to be significantly increased in patients with PE. In addition, RV and LV Tei index significantly improved after surgical correction. Conclusions RV function significantly improved after corrective surgery. Quantitative echocardiographic examination provides accurate estimation when deciding for corrective surgery and also should be used in the assessment of postoperative improvement. |
| Databáze: | OpenAIRE |
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