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

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

Open Access

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

Author(s) -

Marco Zanobini,

Matteo Saccocci,

Gloria Tamborini,

Fabrizio Veglia,

Alessandro Di Minno,

Paolo Poggio,

Mauro Pepi,

Francesco Alamanni,

Claudia Loardi

Publication year - 2017

Publication title -

biomed research international

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.772

H-Index - 126

eISSN - 2314-6141

pISSN - 2314-6133

DOI - 10.1155/2017/4808757

Subject(s) - medicine , cardiology , thoracotomy , culprit , mitral regurgitation , surgery , mitral valve , median sternotomy , reduction (mathematics) , myocardial infarction , geometry , mathematics

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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