Assessment of Right Ventricle Function in Patients with Mitral Repair: Case Series

Simple item page
dc.contributor.authorAmador, Yannisen_US
dc.contributor.authorGarijo, Jacobo Morenoen_US
dc.contributor.authorMashari, Azaden_US
dc.contributor.authorGadotti, Giovannien_US
dc.contributor.authorHopman, Wilma M.en_US
dc.contributor.authorDavid, Tirone Een_US
dc.contributor.authorMeineri, Massimilianoen_US
dc.date.accessioned2025-06-18T10:05:35Z
dc.date.available2025-06-18T10:05:35Z
dc.date.issued2025-03
dc.description.abstractObjectives: We aim to assess right ventricular function in patients undergoing mitral valve repair using trans-esophageal echocardiography, focusing on the predictive value of right ventricular longitudinal strain compared to other echocardiographic measures. Design: Retrospective analysis. Setting: Toronto General Hospital. Participants: Thirty elective patients undergoing mitral valve repair. Interventions: Quantitative assessment of right ventricular function using transesophageal echocardiography images pre- and post-mitral valve repair, including right ventricular longitudinal strain, fractional area change, tricuspid annular plane systolic excursion, and systolic peak velocity (S'). Measurements and Main Results: 3 patterns of RV strain were identified with right ventricular longitudinal strain emerging as the most significant discriminator among right ventricular functional subgroups, with 43% of cases showing worsening, 20% showing no change, and 37% showing improvement. No correlation was found between right ventricular performance parameters and the need for vasopressors post-cardiopulmonary bypass. There was also no association between initial right ventricular longitudinal strain and difficulty in weaning off bypass or increased demand for pressors. Changes in tricuspid annular plane systolic excursion across all cases warrant further investigation with a larger cohort. Conclusions: Right ventricular longitudinal strain is a valuable tool for assessing right ventricular function post-mitral valve repair, offering insights into immediate postoperative outcomes and long-term right ventricular remodeling. Despite limitations like single-surgeon experience and institution-specific choice of pressors, our study provides useful insights into right ventricular function post-mitral repair surgery, paving the way for future research in larger patient populations.en_US
dc.identifier.affiliationsDepartment of Anesthesiology and Perioperative Medicine, Kingston Health Science Center, Queen’s University, Ontario, Canadaen_US
dc.identifier.affiliationsDepartment of Anesthesia and Pain Management, Sunnybrook Health Sciences Centre, Ontario, Canadaen_US
dc.identifier.affiliationsDepartment of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, Ontario, Canadaen_US
dc.identifier.affiliationsDipartimento Cardio-Toraco-Vascolare, UOC Anestesia e Rianimazione Dipartimento Cardio-Toraco-Vascolare, Ontario, Canadaen_US
dc.identifier.affiliationsKingston Health Science Center Research Institute, Ontario, Canada; Department of Public Health Sciences, Faculty of Medicine, Queen’s University, Ontario, Canadaen_US
dc.identifier.affiliationsMelanie Munk Chair of Cardiovascular Surgery at the Peter Munk Cardiac Centre, Toronto General Hospital-University Health Network, Ontario, Canadaen_US
dc.identifier.affiliationsDepartment of Anaesthesiology and Intensive Care Medicine, Leipzig Heart Center, Leipzig, Germanyen_US
dc.identifier.citationAmador Yannis, Garijo Jacobo Moreno, Mashari Azad, Gadotti Giovanni, Hopman Wilma M., David Tirone E, Meineri Massimiliano.Assessment of Right Ventricle Function in Patients with Mitral Repair: Case Series.Annals of Cardiac Anaesthesia.2025 Mar;28(1):46-52en_US
dc.identifier.issn0971-9784
dc.identifier.issn0974-5181
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/247985
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber1en_US
dc.relation.volume28en_US
dc.source.urihttps://doi.org/10.4103/aca.aca_139_24en_US
dc.subjectCardiopulmonary bypassen_US
dc.subjectechocardiographic assessmenten_US
dc.subjectmitral valve repairen_US
dc.subjectperioperative careen_US
dc.subjectright ventricular functionen_US
dc.subjectRV longitudinal strainen_US
dc.subjecttransesophageal echocardiographyen_US
dc.titleAssessment of Right Ventricle Function in Patients with Mitral Repair: Case Seriesen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
aca2025v28n1p46.pdf
Size:
507.05 KB
Format:
Adobe Portable Document Format
Download
Collections
Annals of Cardiac Anaesthesia