Yıl: 2013 Cilt: 43 Sayı: 6 Sayfa Aralığı: 971 - 975 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Tissue Doppler evaluation of the right ventricle in major pulmonary resections

Öz:
Aim: To analyze the consequences of major pulmonary resections on right ventricle (RV) function by using the tissue Doppler imaging (TDI) technique. Materials and methods: Twenty patients (16 males and 4 females) who received pulmonary resection for primary non-small cell lung cancer underwent echocardiographic examinations before surgery on the 2nd and 7th postoperative days. Results: Tricuspid E wave significantly decreased from the postoperative 2nd day to the 7th day (45.93 ± 8.0 to 35.77 ± 7.4 cm/s; P = 0.02). On the postoperative 2nd and 7th days, tricuspid A wave values (58.27 ± 9.6 and 58.94 ± 8.4 cm/s) were significantly higher compared to preoperative values (45.71 ± 12.2 cm/s; P = 0.02 for both). The S wave measured at the basal segment of the right ventricle markedly decreased on the postoperative 2nd day (12.35 ± 2.2 to 10.15 ± 3.2 cm/s; P = 0.03). Tricuspid annular S wave velocity of patients who underwent pneumonectomy was lower than in patients who underwent lobectomy (10.65 ± 2.4 versus 14.42 ± 3.3 cm/s; P = 0.04). Conclusion: In the early postoperative period, significant dilatation and dysfunction of the RV is caused by pulmonary resection. Early detection of this deterioration by means of this noninvasive technique could make swift interventional therapy possible, which is an important step towards avoiding future right heart failure.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Kaiser LR, Kron IL, Spray TL. Mastery of Cardiothoracic Surgery. 2nd ed. Philadelphia, PA, USA: Lippincott Williams & Wilkins; 2007.
  • 2. Reed CE, Spinale FG, Crawford FA. Effect of pulmonary resection on right ventricular function. ATS 1992; 53: 578–582.
  • 3. Lewis JW Jr, Bastanfar M, Gabriel F, Mascha E. Right heart function and prediction of respiratory morbidity in patients undergoing pneumonectomy with moderately severe cardiopulmonary dysfunction. J Thorac Cardiovasc Surg 1994; 108: 169–175.
  • 4. Foroulis CN, Kotoulas CS, Kakouros S, Evangelatos G, Chassapis C, Konstantinou M, Lioulias AG. Study on the late effect of pneumonectomy on right heart pressures using Doppler echocardiography. Eur J Cardiothorac Surg 2004; 26: 508–514.
  • 5. Venuta F, Sciomer S, Andreetti C, Anile M, De Giacomo T, Rolla M, Fedele F, Coloni GF. Long-term Doppler echocardiographic evaluation of the right heart after major lung resections. Eur J Cardiothorac Surg 2007; 32: 787–790.
  • 6. Hasegawa H, Little WC, Ohno M, Brucks S, Morimoto A, Cheng HJ, Cheng CP. Diastolic mitral annular velocity during the development of heart failure. J Am Coll Cardiol 2003; 41: 1590–1597.
  • 7. Sohn DW, Chai IH, Lee DJ, Kim HC, Kim HS, Oh BH, Lee MM, Park YB, Choi YS, Seo JD et al. Assessment of mitral annulus velocity by Doppler tissue imaging in the evaluation of left ventricular diastolic function. J Am Coll Cardiol 1997; 30: 474–480.
  • 8. Amar D, Burt ME, Roistacher N, Reinsel RA, Ginsberg RJ, Wilson RS. Value of perioperative Doppler echocardiography in patients undergoing major lung resection. ATS 1996; 61: 516–520.
  • 9. Smulders SA, Holverda S, Vonk-Noordegraaf A, Van Den Bosch HCM, Post JC, Marcus JT, Smeenk FMJW, Postmus PE. Cardiac function and position more than 5 years after pneumonectomy. Ann Thorac Surg 2007; 83: 1986–1992.
  • 10. Dell’Italia LJ, Starling MR, Walsh RA, Badke FR, Lasher JC, Blumhardt R. Validation of attenuation-corrected equilibrium radionuclide angiographic determinations of right ventricular volume: comparison with cast-validated biplane cineventriculography. Circulation 1985; 72: 317–326.
  • 11. Dell’Italia LJ. Reperfusion for right ventricular infarction. N Engl J Med 1998; 338: 978–980.
  • 12. Aksakal E, Sevimli S, Gürlertop HY, Elbey MA, Taş MH, Gündoğdu F, Erol MK, Karakelleoğlu S. Assessment of the left atrial longitudinal myocardial function by the strain and strain rate echocardiography in patients with rheumatic mitral stenosis. Turk J Med Sci 2011; 41: 965–974.
  • 13. Çiçekçioğlu H, Ergün İ, Uçar Ö, Yüksel C, Azak A, Abaylı E, Aylı MD. Cardiac complications of secondary hyperparathyroidism in chronic hemodialysis patients. Turk J Med Sci 2011; 41: 789– 794.
  • 14. Amin M, Bakhoum S, Eldigwi S, Zaki A. Assessment of right ventricular systolic and diastolic function by pulsed wave tissue Doppler imaging in patients with acute myocardial infarction. HMJ 2008; 2: 6–17.
  • 15. Van Mieghem W, Demedts M. Cardiopulmonary function after lobectomy or pneumonectomy for pulmonary neoplasm. Respir Med 1989; 83: 199–206.
  • 16. Mlczoch J, Zutter W, Keller R, Herzog H. Influence of lung resection on pulmonary circulation and lung function at rest and on exercise. Respiration 1975; 32: 424–435.
APA KUMBASAR U, KAVUKCU H, Ozdemir N, GÜNGÖR A, AKAL R, kutlay h, KAYI CANGIR A, Karahan S, ÖKTEN İ (2013). Tissue Doppler evaluation of the right ventricle in major pulmonary resections. , 971 - 975.
Chicago KUMBASAR Ulaş,KAVUKCU Hasan Şevket,Ozdemir Nezih,GÜNGÖR Adem,AKAL Rıfat Murat,kutlay hakan,KAYI CANGIR Ayten,Karahan Sevilay,ÖKTEN İlker Tissue Doppler evaluation of the right ventricle in major pulmonary resections. (2013): 971 - 975.
MLA KUMBASAR Ulaş,KAVUKCU Hasan Şevket,Ozdemir Nezih,GÜNGÖR Adem,AKAL Rıfat Murat,kutlay hakan,KAYI CANGIR Ayten,Karahan Sevilay,ÖKTEN İlker Tissue Doppler evaluation of the right ventricle in major pulmonary resections. , 2013, ss.971 - 975.
AMA KUMBASAR U,KAVUKCU H,Ozdemir N,GÜNGÖR A,AKAL R,kutlay h,KAYI CANGIR A,Karahan S,ÖKTEN İ Tissue Doppler evaluation of the right ventricle in major pulmonary resections. . 2013; 971 - 975.
Vancouver KUMBASAR U,KAVUKCU H,Ozdemir N,GÜNGÖR A,AKAL R,kutlay h,KAYI CANGIR A,Karahan S,ÖKTEN İ Tissue Doppler evaluation of the right ventricle in major pulmonary resections. . 2013; 971 - 975.
IEEE KUMBASAR U,KAVUKCU H,Ozdemir N,GÜNGÖR A,AKAL R,kutlay h,KAYI CANGIR A,Karahan S,ÖKTEN İ "Tissue Doppler evaluation of the right ventricle in major pulmonary resections." , ss.971 - 975, 2013.
ISNAD KUMBASAR, Ulaş vd. "Tissue Doppler evaluation of the right ventricle in major pulmonary resections". (2013), 971-975.
APA KUMBASAR U, KAVUKCU H, Ozdemir N, GÜNGÖR A, AKAL R, kutlay h, KAYI CANGIR A, Karahan S, ÖKTEN İ (2013). Tissue Doppler evaluation of the right ventricle in major pulmonary resections. Turkish Journal of Medical Sciences, 43(6), 971 - 975.
Chicago KUMBASAR Ulaş,KAVUKCU Hasan Şevket,Ozdemir Nezih,GÜNGÖR Adem,AKAL Rıfat Murat,kutlay hakan,KAYI CANGIR Ayten,Karahan Sevilay,ÖKTEN İlker Tissue Doppler evaluation of the right ventricle in major pulmonary resections. Turkish Journal of Medical Sciences 43, no.6 (2013): 971 - 975.
MLA KUMBASAR Ulaş,KAVUKCU Hasan Şevket,Ozdemir Nezih,GÜNGÖR Adem,AKAL Rıfat Murat,kutlay hakan,KAYI CANGIR Ayten,Karahan Sevilay,ÖKTEN İlker Tissue Doppler evaluation of the right ventricle in major pulmonary resections. Turkish Journal of Medical Sciences, vol.43, no.6, 2013, ss.971 - 975.
AMA KUMBASAR U,KAVUKCU H,Ozdemir N,GÜNGÖR A,AKAL R,kutlay h,KAYI CANGIR A,Karahan S,ÖKTEN İ Tissue Doppler evaluation of the right ventricle in major pulmonary resections. Turkish Journal of Medical Sciences. 2013; 43(6): 971 - 975.
Vancouver KUMBASAR U,KAVUKCU H,Ozdemir N,GÜNGÖR A,AKAL R,kutlay h,KAYI CANGIR A,Karahan S,ÖKTEN İ Tissue Doppler evaluation of the right ventricle in major pulmonary resections. Turkish Journal of Medical Sciences. 2013; 43(6): 971 - 975.
IEEE KUMBASAR U,KAVUKCU H,Ozdemir N,GÜNGÖR A,AKAL R,kutlay h,KAYI CANGIR A,Karahan S,ÖKTEN İ "Tissue Doppler evaluation of the right ventricle in major pulmonary resections." Turkish Journal of Medical Sciences, 43, ss.971 - 975, 2013.
ISNAD KUMBASAR, Ulaş vd. "Tissue Doppler evaluation of the right ventricle in major pulmonary resections". Turkish Journal of Medical Sciences 43/6 (2013), 971-975.