Intra-operative assessment of biventricular function using trans-esophageal echocardiography pre/post-pulmonary thromboembolectomy in patient with chronic thromboembolic pulmonary hypertension

Annals of Cardiac Anaesthesia

Volumn 12, Issue 2, 2009, Pages 140-145

  Gadhingalajkar, Shrinivas ^a   Sreedhar, Rupa ^a   Jayakumar, K ^a   Misra, Manoranjan ^a   Ganesh, S ^a   Panicker, Varghese ^a  

^a SREE CHITRA TIRUNAL INSTITUTE FOR MEDICAL SCIENCES AND TECHNOLOGY   (India)

Author keywords

Cardiopulmonary bypass; Thromboembolism; Transesophageal echocardiography

Indexed keywords

ACETYLSALICYLIC ACID; DOBUTAMINE; FENTANYL; HEPARIN; ISOFLURANE; MIDAZOLAM; NORADRENALIN; PANCURONIUM; PROPOFOL; SALBUTAMOL; WARFARIN;

ADULT; ANESTHESIA INDUCTION; ARTICLE; BLOOD FLOW VELOCITY; BYPASS SURGERY; CARDIOMEGALY; CASE REPORT; CENTRAL VENOUS PRESSURE; CHRONIC DISEASE; DOPPLER FLOWMETRY; DRUG SUBSTITUTION; DRUG WITHDRAWAL; EMBOLECTOMY; FUNCTIONAL ASSESSMENT; HEART DISEASE; HEART LEFT VENTRICLE; HEART RIGHT VENTRICLE; HEART RIGHT VENTRICLE HYPERTROPHY; HEART VENTRICLE ENDDIASTOLIC PRESSURE; HEART VENTRICLE FUNCTION; HEART VENTRICLE PRESSURE; HUMAN; LUNG EMBOLISM; MALE; OUTCOME ASSESSMENT; PREOPERATIVE EVALUATION; PULMONARY ARTERY OCCLUSION; PULMONARY HYPERTENSION; THROMBECTOMY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; VEIN BLOOD FLOW;

ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; EMBOLECTOMY; HUMANS; HYPERTENSION, PULMONARY; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; PULMONARY EMBOLISM; SMOKING; VENTRICULAR FUNCTION; VENTRICULAR FUNCTION, LEFT; VENTRICULAR FUNCTION, RIGHT;

EID: 70349508841     PISSN: 09719784     EISSN: None     Source Type: Journal    
DOI: 10.4103/0971-9784.53449     Document Type: Article

References (18)

1. Rosenberger P, Shernan SK, Body SC, Eltzschig HK. Utility of Intraoperative Transesophageal Echocardiography for Diagnosis of Pulmonary Embolism. Anesth Analg 2004;99:12-6
2. Vieillard-Baron A, Qanadli SD, Antakly Y, Fourme T, Loubières Y, Jardin F, et al. Transesophageal echocardiography for the diagnosis of pulmonary embolism with acute cor pulmonale: A comparison with radiological procedures. Intensive Care Med 1998;24:429-33.
3. Izrailtyan I, Clark J, Swaminathan M, Podgoreanu MV, Mackensen B, Davis RD, et al. Case report: Optimizing intraoperative detection of pulmonary embolism using contrast-enhanced echocardiography. Can J Anaesth 2006;53:711-5.
4. Mayer E, Klepetko W. Techniques and outcomes of pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension. Proc Am Thorac Soc 2006;3:589-93.
5. Miller RL, Das S, Anandarangam T, Leibowitz DW, Alderson PO, Thomashow B, et al. Association between right ventricular function and perfusion abnormalities in hemodynamically stable patients with acute pulmonary embolism. Chest 1998;113:665-70.
6. Hartmannsgruber MW, Trent FL, Stolzfus DP. Thrombolytic therapy for treatment of pulmonary embolism in the postoperative period: Case report and review of the literature. J Clin Anesth 1996;8:669-74.
7. Meneveau N, Ming LP, Séronde MF, Mersin N, Schiele F, Caulfield F, et al. In-hospital and long-term outcome after sub-massive and massive pulmonary embolism submitted to thrombolytic therapy. Eur Heart J 2003;24:1447-54.
8. Menzel T, Wagner S, Kramm T, Mohr-Kahaly S, Mayer E, Braeuninger S, et al. Pathophysiology of impaired right and left ventricular function in chronic embolic pulmonary hypertension: Changes after pulmonary thromboendarterectomy. Chest 2000;118:897-903.
9. Ten Wolde M, Söhne M, Quak E, Mac Gillavry MR, Büller HR. Prognostic value of echocardiographically assessed right ventricular dysfunction in patients with pulmonary embolism. Arch Intern Med 2004;164:1685-9.
10. Kasper W, Konstantinides S, Geibel A, Tiede N, Krause T, Just H. Prognostic significance of right ventricular afterload stress detected by echocardiography in patients with clinically suspected pulmonary embolism. Heart 1997;77:346-9.
11. Ghio S, Raineri C, Scelsi L, Recusani F, D'armini AM, Piovella F, et al. Usefulness and limits of transthoracic echocardiography in the evaluation of patients with primary and chronic thromboembolic pulmonary hypertension. J Am Soc Echocardiogr 2002;15:1374-80.
12. Wong S. The right ventricle, tricuspid valve and pulmonary valve. In: David Sidebotham, Alan Merry, Malcolm Legget (ed): Practical perioperative transesophageal echocardiography. London: Butterworth Heinemann; 2003. p. 201-14.
13. Louie EK, Rich S, Levitsky S, Brundage BH. Doppler echocardiographic demonstration of the differential effects of right ventricular pressure and volume overload on left ventricular geometry and filling. J Am Coll Cardiol 1992;19:84-90
14. Louie EK, Lin SS, Reynertson SI, Brundage BH, Levitsky S, Rich S. Pressure and volume loading of the right ventricle have opposite effects on left ventricular ejection fraction. Circulation 1995;92:819-24.
15. Menzel T, Wagner S, Mohr-Kahaly S, Mayer E, Kramm T, Fischer TA, et al. Reversibility of changes in left and right ventricular geometry and hemodynamics in pulmonary hypertension. Echocardiographic characteristics before and after pulmonary thromboendarterectomy. Z Kardiol 1997;86:928-35.
16. Mahmud E, Raisinghani A, Hassankhani A, Sadeghi HM, Strachan GM, Auger W, et al. Correlation of left ventricular diastolic filling characteristics with right ventricular overload and pulmonary artery pressure in chronic thromboembolic pulmonary hypertension. J Am Coll Cardiol 2002;40:318-24.
17. Kasper W, Geibel A, Tiede N, Bassenge D, Kauder E, Konstantinides S, et al. Distinguishing between acute and subacute massive pulmonary embolism by conventional and Doppler echocardiography. Br Heart J 1993;70:352-6.
18. Sidebotham D, Hussey M. Left ventricular diastolic dysfunction. In Sidebotham D, Merry A, Legget M, editors. Practical perioperative transesophageal echocardiography. London: Butterworth Heinemann; 2003. P. 117-129.