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

Marco Zanobini; Matteo Saccocci; Gloria Tamborini; Fabrizio Veglia; Alessandro Di Minno; Paolo Poggio; Mauro Pepi; Francesco Alamanni; Claudia Loardi

doi:10.1155/2017/4808757

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

Marco Zanobini, Matteo Saccocci, Gloria Tamborini, Fabrizio Veglia, Alessandro Di Minno, Paolo Poggio, Mauro Pepi, Francesco Alamanni, Claudia Loardi

Centro Cardiologico Monzino

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Article number	4808757
Journal	BioMed Research International
Volume	2017
DOIs	https://doi.org/10.1155/2017/4808757
Publication status	Published - Jan 1 2017

ASJC Scopus subject areas

Biochemistry, Genetics and Molecular Biology(all)
Immunology and Microbiology(all)

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

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.",

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T1 - Postoperative Echocardiographic Reduction of Right Ventricular Function

T2 - Is Pericardial Opening Modality the Main Culprit?

AU - Zanobini, Marco

AU - Saccocci, Matteo

AU - Tamborini, Gloria

AU - Veglia, Fabrizio

AU - Di Minno, Alessandro

AU - Poggio, Paolo

AU - Pepi, Mauro

AU - Alamanni, Francesco

AU - Loardi, Claudia

PY - 2017/1/1

Y1 - 2017/1/1

N2 - 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.

AB - 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.

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

Abstract

ASJC Scopus subject areas

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