Right ventricular–pulmonary arterial coupling in patients after repair of tetralogy of Fallot Heiner Latus, MD, Wolfhard Binder, MD, Gunter Kerst, MD,

Slides:

Advertisements

Similar presentations

Max B. Mitchell, MD The Journal of Thoracic and Cardiovascular Surgery

Advertisements

Lost in translation The Journal of Thoracic and Cardiovascular Surgery

Manuel J. Antunes, MD, PhD, DSc

Stephen R. Broderick, MD, MPHS

Dead-space or dead-end: Can prolonged mechanical ventilation be predicted in all children after unifocalization? Tyson A. Fricke, MBBS, BMedSci, Igor.

Ventricular kinetic energy may provide a novel noninvasive way to assess ventricular performance in patients with repaired tetralogy of Fallot Daniel.

Early mitral valve surgery for chronic severe mitral regurgitation optimizes left ventricular performance and left ventricular mass regression Ken-ichi.

Valve-sparing repair to alleviate pulmonary regurgitation may lead to as much right ventricular dilatation as a transannular patch: A catch-22? Tae-Jin.

Mechanical stress is associated with right ventricular response to pulmonary valve replacement in patients with repaired tetralogy of Fallot Dalin Tang,

Nonsurround, nonuniform, biventricular-capable direct cardiac compression provides Frank-Starling recruitment independent of left ventricular septal damage

Right internal thoracic artery or saphenous vein grafting

Does limited right ventriculotomy prevent right ventricular dilatation and dysfunction in patients who undergo transannular repair of tetralogy of Fallot?

Pulmonary hypertension in valve disease: A beast of the past?

Intrinsic cardiac stem cells are essential for regeneration

Are preoperative B-type natriuretic peptide levels associated with outcome after pulmonary artery banding and the double switch operation in patients.

Juan A. Crestanello, MD, Richard C. Daly, MD

Form ever follows function

William M. DeCampli, MD, PhD

Osamu Kawaguchi, MD, Walter E. Pae, MD, FACS, Bill B

A new approach: Ischemic mitral regurgitation guidelines by and for surgeons Patrick M. McCarthy, MD The Journal of Thoracic and Cardiovascular Surgery

Multilevel data analysis: What? Why? How?

Tetralogy of Fallot: Results of a Pulmonary Valve-Sparing Strategy

How should we treat air leaks?

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

Surgeons, valve repair in severely unbalanced atrioventricular septal defect, and the emperor's new clothes David M. Overman, MD The Journal of Thoracic.

Transcoronary infusion of cardiac progenitor cells in hypoplastic left heart syndrome: Three-year follow-up of the Transcoronary Infusion of Cardiac Progenitor.

The lord of the rings Antonio Miceli, MD, PhD

Evaluation of right ventricular function after cardiac surgery: The importance of tricuspid annular plane systolic excursion and right ventricular ejection.

Long-term outcomes after definitive repair for tetralogy of Fallot with preservation of the pulmonary valve annulus Takaya Hoashi, MD, PhD, Koji Kagisaki,

Aditya K. Kaza, MD The Journal of Thoracic and Cardiovascular Surgery

Juan N. Pulido, MD The Journal of Thoracic and Cardiovascular Surgery

Reduced regional right ventricular wall motion after transventricular repair of tetralogy of Fallot Shin Takabayashi, MD, PhD, Hideto Shimpo, MD, PhD,

The role of cognitive dissonance in the management of functional tricuspid regurgitation at the time of degenerative mitral valve repair Rakesh M. Suri,

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

It's not “just a shunt” but sometimes it should be…

A first start for lung transplantation?

Right ventricular failure after cardiac surgery: Why can't right ventricular assist device support fix the problem? Francis D. Pagani, MD, PhD The Journal.

Acute hemodynamic effects of restrictive mitral annuloplasty in patients with end-stage heart failure: Analysis by pressure-volume relations Sven A.F.

Role of myocardial hypertrophy on acute and chronic right ventricular performance in relation to chronic volume overload in a porcine model: Relevance.

Stephen R. Broderick, MD, MPHS

Joseph A. Dearani, MD, Michael J. Ackerman, MD, PhD

Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass Benjamin Medalion, MD, Michael G. Katz, MD,

The empire strikes back: Surgical ventricular reconstruction works very well in Japan Lorenzo A. Menicanti, MD The Journal of Thoracic and Cardiovascular.

Reversible pulmonary trunk banding: VII

Leora B. Balsam, MD, Abe DeAnda, MD

Niv Ad, MD, Lawrence M. Wei, MD

A fate worse than death Jennifer S. Lawton, MD

Intersurgeon variability in long-term outcomes after transatrial repair of tetralogy of Fallot: 25 years' experience with 675 patients Yves d'Udekem,

Long-term importance of right ventricular outflow tract patch function in patients with pulmonary regurgitation Rajesh Puranik, MD, Victor Tsang, MD,

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Shunt right or left? Decision 2016

Ralph S. Mosca, MD The Journal of Thoracic and Cardiovascular Surgery

The harder one looks, the more one finds

Innovation in cardiothoracic surgical training

Power loss and right ventricular efficiency in patients after tetralogy of Fallot repair with pulmonary insufficiency: Clinical implications Mark A.

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Severe tricuspid or mitral regurgitation in inoperable patients with aortic stenosis. Can we leave them alone? Juan A. Crestanello, MD The Journal of.

The future of cardiac surgery training: A survival guide

Ventricular assistant in restrictive cardiomyopathy: Making the right connection Robert D.B. Jaquiss, MD The Journal of Thoracic and Cardiovascular Surgery

After neoadjuvant chemoradiation therapy, predicted pulmonary function may be reduced by 10% Benny Weksler, MD, MBA The Journal of Thoracic and Cardiovascular.

“The more things change…”: The challenges ahead

Ryan R. Davies, MD The Journal of Thoracic and Cardiovascular Surgery

Apples remain apples NO matter what

Preoperative PFTs: The answer is blowing in the wind

Perioperative renal function and thoracoabdominal aneurysm repair: Where do we go from here? Leonard N. Girardi, MD The Journal of Thoracic and Cardiovascular.

Of mice and men… The Journal of Thoracic and Cardiovascular Surgery

Journal changes and initiatives

Edward Y. Chan, MD, Michael J. Reardon, MD

Zone zero thoracic endovascular aortic repair is all about “location, location, location” Kevin L. Greason, MD The Journal of Thoracic and Cardiovascular.

Presentation transcript:

Right ventricular–pulmonary arterial coupling in patients after repair of tetralogy of Fallot Heiner Latus, MD, Wolfhard Binder, MD, Gunter Kerst, MD, Michael Hofbeck, MD, Ludger Sieverding, MD, Christian Apitz, MD The Journal of Thoracic and Cardiovascular Surgery Volume 146, Issue 6, Pages 1366-1372 (December 2013) DOI: 10.1016/j.jtcvs.2013.02.039 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Group of pressure-volume loops during preload reduction maneuvers at (A) baseline and (B) dobutamine infusion. The blue line represents the end-systolic pressure volume relation (end-systolic elastance [Ees]) as a parameter of right ventricular contractility; the red line, the slope of the relation connecting the end-systolic and end-diastolic pressure-volume points in the pressure-volume loop that represents the effective pulmonary arterial elastance (Ea). The Journal of Thoracic and Cardiovascular Surgery 2013 146, 1366-1372DOI: (10.1016/j.jtcvs.2013.02.039) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Relationship between pulmonary arterial elastance (Ea) and indexed pulmonary regurgitant volume (PRVi), right ventricular ejection fraction (RVEF) and brain natriuretic peptide (BNP) levels. The arterial elastance (Ea) showed no correlation with the RV end-diastolic volume relation (EDPVR) as a parameter of the RV intrinsic diastolic function. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 1366-1372DOI: (10.1016/j.jtcvs.2013.02.039) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Changes in response to dobutamine (mean values) of effective (A) pulmonary arterial elastance (Ea), (B) right ventricular end-systolic elastance (Ees), and (C) right ventricular–pulmonary arterial (RV-PA) coupling Ea/Ees ratio in patients with transannular patch repair (TAP) and in patients who underwent a transatrial/transpulmonary approach. Note the significant difference in RV-PA coupling in response to dobutamine between the 2 groups. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 1366-1372DOI: (10.1016/j.jtcvs.2013.02.039) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions