Echocardiographic reduction of RV function, measured using TAPSE, is a well described phenomenon after cardiac surgery. The aim of the present study was to investigate the relation between the modality of pericardial opening (lateral versus anterior) and the postoperative right ventricular systolic function by comparing echocardiographic parameters in patients undergoing minimally invasive or traditional mitral valve repair. 34 patients with severe mitral regurgitation due to mitral valve prolapse underwent traditional (sternotomy) operation (Group A) or minimally invasive surgery with right anterolateral thoracotomy (Group B). A postoperative TAPSE fall was found in both groups. Group A experienced a significant postoperative TAPSE fall versus Group B with p<0.0001.

Postoperative Echocardiographic Reduction of Right Ventricular Function: Is Pericardial Opening Modality the Main Culprit? / M. Zanobini, M. Saccocci, G. Tamborini, F. Veglia, A. Di Minno, P. Poggio, M. Pepi, F. Alamanni, C. Loardi. - In: BIOMED RESEARCH INTERNATIONAL. - ISSN 2314-6133. - 2017(2017 May 14), pp. 4808757.1-4808757.7.

Postoperative Echocardiographic Reduction of Right Ventricular Function: Is Pericardial Opening Modality the Main Culprit?

Saccocci, Matteo;Di Minno, Alessandro;Poggio, Paolo;Alamanni, Francesco;Loardi, Claudia
2017-05-14

Abstract

Echocardiographic reduction of RV function, measured using TAPSE, is a well described phenomenon after cardiac surgery. The aim of the present study was to investigate the relation between the modality of pericardial opening (lateral versus anterior) and the postoperative right ventricular systolic function by comparing echocardiographic parameters in patients undergoing minimally invasive or traditional mitral valve repair. 34 patients with severe mitral regurgitation due to mitral valve prolapse underwent traditional (sternotomy) operation (Group A) or minimally invasive surgery with right anterolateral thoracotomy (Group B). A postoperative TAPSE fall was found in both groups. Group A experienced a significant postoperative TAPSE fall versus Group B with p<0.0001.
Adult; Echocardiography; Female; Humans; Male; Middle Aged; Cardiac Surgical Procedures; Mitral Valve Prolapse; Pericardium; Ventricular Function, Right; Biochemistry, Genetics and Molecular Biology (all); Immunology and Microbiology (all)
Settore MED/23 - Chirurgia Cardiaca
BIOMED RESEARCH INTERNATIONAL
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/562346
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