Early changes of right heart geometry after pulmonary thromboendarterectomy

Details

Serval ID
serval:BIB_21BF4BF2D18B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Early changes of right heart geometry after pulmonary thromboendarterectomy
Journal
Journal of the American College of Cardiology
Author(s)
Dittrich  H. C., Nicod  P. H., Chow  L. C., Chappuis  F. P., Moser  K. M., Peterson  K. L.
ISSN
0735-1097 (Print)
Publication state
Published
Issued date
05/1988
Volume
11
Number
5
Pages
937-43
Notes
Journal Article --- Old month value: May
Abstract
To determine the changes in right heart hemodynamics and geometry early after surgery for chronic pulmonary hypertension due to large vessel thromboembolic occlusion, 30 patients were evaluated 8 +/- 8 days (mean +/- SD) before and 6 +/- 4 days after pulmonary thromboendarterectomy by two-dimensional echocardiography and right heart catheterization. Surgery resulted in an early significant improvement in hemodynamic variables including mean pulmonary artery pressure (48 +/- 12 to 28 +/- 8 mm Hg, p less than 0.001), right ventricular systolic pressure (76 +/- 20 to 47 +/- 15 mm Hg, p less than 0.001), pulmonary vascular resistance (935 +/- 620 to 278 +/- 252 dynes.s.cm-5, p less than 0.001) and cardiac index (2.0 +/- 0.5 to 2.9 +/- 0.6 liters/min per m2, p less than 0.001). Similarly, echocardiographic variables of right heart structures, which were well outside the normal range preoperatively, improved significantly early after thromboendarterectomy. These included diameters of the pulmonary artery (2.8 +/- 0.3 to 2.4 +/- 0.4 cm, p less than 0.001), inferior vena cava (2.9 +/- 0.6 to 2.2 +/- 0.4 cm, p less than 0.001) and right atrium (6.8 +/- 1.5 to 5.9 +/- 1.5 cm, p less than 0.001) as well as right ventricular short axis (4.5 +/- 0.8 to 3.7 +/- 0.8 cm, p less than 0.001) and long axis (8.7 +/- 0.9 to 8.1 +/- 0.9 cm, p less than 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)
Keywords
Adult Aged Aged, 80 and over Chronic Disease Echocardiography *Endarterectomy Female Heart Catheterization Heart Ventricles/pathology Hemodynamic Processes Humans Hypertension, Pulmonary/etiology/surgery Male Middle Aged Myocardium/*pathology Pericardium/surgery Postoperative Complications/etiology Pulmonary Artery/pathology/*surgery Pulmonary Embolism/complications/*surgery Time Factors Vena Cava, Inferior/pathology
Pubmed
Web of science
Open Access
Yes
Create date
25/01/2008 14:00
Last modification date
20/08/2019 12:58
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