Quantification of systemic right ventricle by echocardiography

Iriart, Xavier; Roubertie, François; Jalal, Zakaria; Thambo, Jean-Benoît

doi:10.1016/j.acvd.2015.11.008

Cited by 29 publications

(35 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition to volumetric function parameters, the analysis of longitudinal function parameters has been proposed [1]. In agreement with previous studies, the current study showed no correlation between longitudinal function parameters and sysRV EF.…”

Section: Discussionsupporting

confidence: 90%

“…The right ventricle (RV) serves as the subaortic systemic ventricle in patients with congenitally corrected transposition of the great arteries (ccTGA) and in patients with transposition of the great arteries (TGA) surgically repaired by atrial switch. TGA occurs in 1:3100 live births and ccTGA in 1:33,000 live births [1]. Surgical methods for the repair of TGA by performing an atrial baffle repair were developed by Senning and Mustard in the 1950s and 1960s, respectively.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Systematic Evaluation of Systemic Right Ventricular Function

Schneider

Beichl

Nietsche

et al. 2019

JCM

View full text Add to dashboard Cite

Background: The right ventricle serves as the subaortic systemic ventricle (sysRV) in patients with congenitally corrected transposition of the great arteries (ccTGA) and in patients with transposition of the great arteries (TGA) surgically repaired by an atrial switch. SysRV can lead to late complications, primarily heart failure, significant regurgitation of the systemic atrioventricular (AV) valve, and ventricular arrhythmias with sudden cardiac death. We sought to investigate the value of 2D- and 3D-echocardiographic parameters of sysRV function. Methods: Consecutive adult patients with sysRV who presented at the adult congenital heart disease outpatient clinic were prospectively enrolled. All patients received comprehensive transthoracic echocardiography, including 3D-echocardiography, cardiac magnetic-resonance-imaging (CMR), cardiopulmonary-exercise-testing, and blood analysis for NT-proBNP. Results. A total of 27 patients were included, 18 with TGA and nine with ccTGA. Median age was 37 years (Q1 = 31, Q3 = 44), 44% were male, median NT-proBNP was 189 pg/mL (Q1 = 155, Q3 = 467); sufficient 3D-echocardiography datasets were acquired in 78% of patients. All echocardiographic 2D and 3D volumetric function parameters correlated with CMR data, whereas a correlation was not seen with any of the longitudinal function parameters. NT-proBNP correlated with tricuspid annular plane systolic excursion (r = −0.43, p = 0.02) and CMR ejection fraction (EF) (r = −0.62, p = 0.003). Conclusion: Systematic evaluation of sysRV is complex and should include not only volumetric parameters but also parameters of longitudinal function in addition to measurement of NT-proBNP. In patients with good image quality, 3D-echocardiography can be used to assess volumes and EF.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Systematic Evaluation of Systemic Right Ventricular Function

Schneider

Beichl

Nietsche

et al. 2019

JCM

View full text Add to dashboard Cite

show abstract

“…35 Já valores de strain longitudinal de VD inferiores a -10% foram associados à ocorrência de eventos adversos, em PO tardio de cirurgia de Senning. 39 A seleção de pacientes com ventrículo único (VU) para cirurgia de Fontan leva em consideração a resistência vascular pulmonar e a pressão diastólica final ventricular. No entanto, os critérios atuais de indicação mostram-se falhos para uma considerável parcela destes pacientes, que enfrentam complicações e internações prolongadas.…”

Section: Strain Ventricular Em Cardiopatias Congênitasunclassified

Applications of the Myocardial Strain Study using Two-Dimensional Speckle Tracking in Pediatrics

Leal¹

2019

Arquivos Brasileiros De Cardiologia - Imagem Cardiovascular

View full text Add to dashboard Cite

“…In Eisenmenger´s syndrome, the development of myocardial fibrosis is closely related to the generation less strength, symptoms such as fatigue or palpitations are attributed to the CHD itself, and the real new HF signs and symptoms are masked by the underlying CHD. A more objective assessment with diagnostic studies such as oxygen consumption during a stress test, 3D echocardiography (Figure 4) or functional MR, which measure the ejection fraction more precisely, is a more adequate and recommended method for measuring ACHDs´ functional capacity [22][23][24][25].…”

Section: What Are the Main Causes Of Decompensation In Adults With Comentioning

confidence: 99%

The Profile of an Adult with Congenital Heart Disease

Jairo¹

2018

Int J Clin Cardiol

View full text Add to dashboard Cite

Congenital heart disease is the most frequent malformation. In the most recent data has a prevalence of thirteen cases per 1,000 children and six cases per 1,000 adults. Great strides in pediatric cardiovascular surgery have increased the number of survivors, especially in adulthood. Nowadays more adults are living with congenital heart disease than children, particularly in developed countries, and more than two thirds fall into the categories of moderate and high complexity defects. This growing population called: Grown up congenital heart, requires super-specialized healthcare, the profile of the new cardiovascular patient differs from the traditional adult with heart disease, the first paradigm that should be broken is to understand that cardiovascular surgery is restorative (it substantially improves the hemodynamic condition), but is not 100% curative. Surgical and survival successes have turned the pediatric patient with congenital heart disease into an adult postoperative patient with residua, sequela and complications. The adult's postoperative heart is not a natural heart, it is a transformed, "neo-formed", heart. They will have relapses and hospitalizations due decompensation to congenital heart disease. A new specialist profile is necessary. Training in adult congenital heart disease is valid beginning from both a pediatric and an adult cardiology environment. The special needs of this population are very costly for health systems. Recognize what are the main causes of decompensation is mandatory and finally adequate care decreases prolonged hospital stays and health system cost.

show abstract

Quantification of systemic right ventricle by echocardiography

Cited by 29 publications

References 42 publications

Systematic Evaluation of Systemic Right Ventricular Function

Systematic Evaluation of Systemic Right Ventricular Function

Applications of the Myocardial Strain Study using Two-Dimensional Speckle Tracking in Pediatrics

The Profile of an Adult with Congenital Heart Disease

Contact Info

Product

Resources

About