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The Journal of Thoracic and Cardiovascular Surgery
Commentary: Postoperative right ventricular dysfunction—Integrating right heart profiles beyond long-axis function André Denault, MD, PhD, FRCPC, ABIM-CCM, FASE, FCCS, Francois Haddad, MD, FRCPC, FAHA, Yoan Lamarche, MD, MSc, FRCSC, Nadia Bouabdallaoui, MD, Alain Deschamps, MD, PhD, FRCPC, Georges Desjardins, MD, FRCPC, FASE The Journal of Thoracic and Cardiovascular Surgery DOI: /j.jtcvs Copyright © 2019 The American Association for Thoracic Surgery Terms and Conditions
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Figure 1 Consequences (A-D) and mechanisms (E-H) of right ventricular (RV) failure. A, Simultaneous pulmonary artery pressure (PAP) and right ventricular pressure (RVP) waveforms. Numbered features: 1, Normal right ventricular pressure (Prv) waveform with rapid systolic pressure changes; 2, normal horizontal Prv diastolic slope; 3, abnormal right ventricular pressure Prv diastolic slope greater than 4 mm Hg; 4, square root sign with RV pulsus tardus; 5, diastolic equalization between the Prv and the diastolic pulmonary artery pressure (Ppa). BIS, Basal inferior section; MIS, midinferior section; APS, apical section; AVC, aortic valve closure; SV, splenic vein; PWD, pulsed-wave Doppler; MCA, middle cerebral artery; TCD, transcranial Doppler; PSV, peak systolic velocity; MV, mean velocity; EDV, end-diastolic velocity; PI, pulsatility index; HITS; high-intensity transient signals; RCA, right coronary embolism; HA, hepatic artery; CWD, continuous-wave Doppler. Adapted by permission of Taylor and Francis Group, LLC, a division of Informa plc, from: Denault A, Vegas A, Lamarche Y, Tardif J, Couture P. Basic Transesophageal and Critical Care Ultrasound. Taylor and Francis, CRC Press, Boca Raton, FL The Journal of Thoracic and Cardiovascular Surgery DOI: ( /j.jtcvs ) Copyright © 2019 The American Association for Thoracic Surgery Terms and Conditions
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Consequences (A-D) and mechanism (E-H) of right ventricular failure.
The Journal of Thoracic and Cardiovascular Surgery DOI: ( /j.jtcvs ) Copyright © 2019 The American Association for Thoracic Surgery Terms and Conditions
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