Assessment of Right Ventricle Function in Patients with Mitral Repair: Case Series
Objectives: We aim to assess right ventricular function in patients undergoing mitral valve repair using trans-esophageal echocardiography, focusing on the predictive value of right ventricular longitudinal strain compared to other echocardiographic measures. Design: Retrospective analysis. Setting:...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Annals of Cardiac Anaesthesia |
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| Online Access: | https://journals.lww.com/10.4103/aca.aca_139_24 |
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| author | Yannis Amador Jacobo Moreno Garijo Azad Mashari Giovanni Gadotti Wilma M. Hopman Tirone E David Massimiliano Meineri |
| author_facet | Yannis Amador Jacobo Moreno Garijo Azad Mashari Giovanni Gadotti Wilma M. Hopman Tirone E David Massimiliano Meineri |
| author_sort | Yannis Amador |
| collection | DOAJ |
| description | Objectives:
We aim to assess right ventricular function in patients undergoing mitral valve repair using trans-esophageal echocardiography, focusing on the predictive value of right ventricular longitudinal strain compared to other echocardiographic measures.
Design:
Retrospective analysis.
Setting:
Toronto General Hospital.
Participants:
Thirty elective patients undergoing mitral valve repair.
Interventions:
Quantitative assessment of right ventricular function using transesophageal echocardiography images pre- and post-mitral valve repair, including right ventricular longitudinal strain, fractional area change, tricuspid annular plane systolic excursion, and systolic peak velocity (S’).
Measurements and Main Results:
3 patterns of RV strain were identified with right ventricular longitudinal strain emerging as the most significant discriminator among right ventricular functional subgroups, with 43% of cases showing worsening, 20% showing no change, and 37% showing improvement. No correlation was found between right ventricular performance parameters and the need for vasopressors post-cardiopulmonary bypass. There was also no association between initial right ventricular longitudinal strain and difficulty in weaning off bypass or increased demand for pressors. Changes in tricuspid annular plane systolic excursion across all cases warrant further investigation with a larger cohort.
Conclusions:
Right ventricular longitudinal strain is a valuable tool for assessing right ventricular function post-mitral valve repair, offering insights into immediate postoperative outcomes and long-term right ventricular remodeling. Despite limitations like single-surgeon experience and institution-specific choice of pressors, our study provides useful insights into right ventricular function post-mitral repair surgery, paving the way for future research in larger patient populations. |
| format | Article |
| id | doaj-art-87d063fe04aa4894872c360bfc95adf0 |
| institution | Kabale University |
| issn | 0971-9784 0974-5181 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj-art-87d063fe04aa4894872c360bfc95adf02025-02-10T10:45:38ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97840974-51812025-01-01281465210.4103/aca.aca_139_24Assessment of Right Ventricle Function in Patients with Mitral Repair: Case SeriesYannis AmadorJacobo Moreno GarijoAzad MashariGiovanni GadottiWilma M. HopmanTirone E DavidMassimiliano MeineriObjectives: We aim to assess right ventricular function in patients undergoing mitral valve repair using trans-esophageal echocardiography, focusing on the predictive value of right ventricular longitudinal strain compared to other echocardiographic measures. Design: Retrospective analysis. Setting: Toronto General Hospital. Participants: Thirty elective patients undergoing mitral valve repair. Interventions: Quantitative assessment of right ventricular function using transesophageal echocardiography images pre- and post-mitral valve repair, including right ventricular longitudinal strain, fractional area change, tricuspid annular plane systolic excursion, and systolic peak velocity (S’). Measurements and Main Results: 3 patterns of RV strain were identified with right ventricular longitudinal strain emerging as the most significant discriminator among right ventricular functional subgroups, with 43% of cases showing worsening, 20% showing no change, and 37% showing improvement. No correlation was found between right ventricular performance parameters and the need for vasopressors post-cardiopulmonary bypass. There was also no association between initial right ventricular longitudinal strain and difficulty in weaning off bypass or increased demand for pressors. Changes in tricuspid annular plane systolic excursion across all cases warrant further investigation with a larger cohort. Conclusions: Right ventricular longitudinal strain is a valuable tool for assessing right ventricular function post-mitral valve repair, offering insights into immediate postoperative outcomes and long-term right ventricular remodeling. Despite limitations like single-surgeon experience and institution-specific choice of pressors, our study provides useful insights into right ventricular function post-mitral repair surgery, paving the way for future research in larger patient populations.https://journals.lww.com/10.4103/aca.aca_139_24cardiopulmonary bypassechocardiographic assessmentmitral valve repairperioperative careright ventricular functionrv longitudinal straintransesophageal echocardiography |
| spellingShingle | Yannis Amador Jacobo Moreno Garijo Azad Mashari Giovanni Gadotti Wilma M. Hopman Tirone E David Massimiliano Meineri Assessment of Right Ventricle Function in Patients with Mitral Repair: Case Series Annals of Cardiac Anaesthesia cardiopulmonary bypass echocardiographic assessment mitral valve repair perioperative care right ventricular function rv longitudinal strain transesophageal echocardiography |
| title | Assessment of Right Ventricle Function in Patients with Mitral Repair: Case Series |
| title_full | Assessment of Right Ventricle Function in Patients with Mitral Repair: Case Series |
| title_fullStr | Assessment of Right Ventricle Function in Patients with Mitral Repair: Case Series |
| title_full_unstemmed | Assessment of Right Ventricle Function in Patients with Mitral Repair: Case Series |
| title_short | Assessment of Right Ventricle Function in Patients with Mitral Repair: Case Series |
| title_sort | assessment of right ventricle function in patients with mitral repair case series |
| topic | cardiopulmonary bypass echocardiographic assessment mitral valve repair perioperative care right ventricular function rv longitudinal strain transesophageal echocardiography |
| url | https://journals.lww.com/10.4103/aca.aca_139_24 |
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