Perioperative right ventricular dysfunction

Current Opinion in Anaesthesiology

Volumn 26, Issue 1, 2013, Pages 71-81

  Denault, André Yvan ^a,b   Haddad, Francois ^c   Jacobsohn, Eric ^d   Deschamps, Alain ^a  

^a MONTREAL HEART INSTITUTE   (Canada)

^b CENTRE HOSPITALIER DE L UNIVERSITÉ DE MONTRÉAL   (Canada)

^c STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d UNIVERSITY OF MANITOBA   (Canada)

Author keywords

Echocardiography; Hemodynamics; Right ventricular failure; Right ventricular function; Transesophageal echocardiography

Indexed keywords

CARDIOPULMONARY BYPASS; COMPRESSION; DIFFERENTIAL DIAGNOSIS; ECHOCARDIOGRAPHY; HEART LEFT VENTRICLE FAILURE; HEART MUSCLE ISCHEMIA; HEART RIGHT VENTRICLE FAILURE; HEART RIGHT VENTRICLE FUNCTION; HEART RIGHT VENTRICLE PRESSURE; HEART SURGERY; HEMODYNAMICS; HUMAN; NEAR INFRARED SPECTROSCOPY; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; PULMONARY HYPERTENSION; REVIEW;

CARDIAC SURGICAL PROCEDURES; HEART VENTRICLES; HUMANS; HYPERTENSION, PULMONARY; PERIOPERATIVE CARE; SPECTROSCOPY, NEAR-INFRARED; VENTRICULAR DYSFUNCTION, RIGHT;

EID: 84872194340     PISSN: 09527907     EISSN: 14736500     Source Type: Journal    
DOI: 10.1097/ACO.0b013e32835b8be2     Document Type: Review

References (65)

1. Haddad F, Doyle R, Murphy DJ, et al. Right ventricular function in cardiovascular disease, part II: Pathophysiology, clinical importance, and management of right ventricular failure. Circulation 2008; 117:1717-L731.
2. Ribeiro A, Lindmarker P, Juhlin-Dannfelt A, et al. Echocardiography Doppler in pulmonary embolism: Right ventricular dysfunction as a predictor of mortality rate. Am Heart J 1997; 134:479-487. (Pubitemid 27431254)
3. Ramakrishna G, Sprung J, Ravi BS, et al. Impact of pulmonary hypertension on the outcomes of noncardiac surgery: Predictors of perioperative morbidity and mortality. J Am Coll Cardiol 2005; 45:1691-L699.
4. Nashef SA, Roques F, Michel P, et al. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg 1999; 16:9-L3.
5. Bernstein AD, Parsonnet V. Bedside estimation of risk as an aid for decisionmaking in cardiac surgery. Ann Thorac Surg 2000; 69:823-828. (Pubitemid 30184703)
6. Yeo TC, Dujardin KS, Tei C, et al. Value of a Doppler-Derived index combining systolic and diastolic time intervals in predicting outcome in primary pulmonary hypertension. Am J Cardiol 1998; 81:1157-L161.
7. Price LC, Montani D, Jais X, et al. Noncardiothoracic nonobstetric surgery in mild-to-moderate pulmonary hypertension. Eur Respir J 2010; 35:1294-L302.
8. McLaughlin VV, Archer SL, Badesch DB, et al. ACCF/AHA 2009 expert consensus document on pulmonary hypertension a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents and the American Heart Association developed in collaboration with the American College of Chest Physicians; American Thoracic Society, Inc.; and the Pulmonary Hypertension Association. J Am Coll Cardiol 2009; 53:1573-L619.
9. Simonneau G, Robbins IM, Beghetti M, et al. Updated clinical classification of pulmonary hypertension. J Am Coll Cardiol 2009; 54 (1 Suppl):S43-S54.
10. Maslow AD, Regan MM, Panzica P, et al. Precardiopulmonary bypass right ventricular function is associated with poor outcome after coronary artery bypass grafting in patients with severe left ventricular systolic dysfunction. Anesth Analg 2002; 95:1507-L518.
11. Haddad F, Couture P, Tousignant C, et al. The right ventricle in cardiac surgery, a perioperative perspective: II. Pathophysiology, clinical importance, and management. Anesth Analg 2009; 108:422-433.
12. Denault AY, Tardif JC, Mazer CD, et al. Difficult and complex separation from cardiopulmonary bypass in high-risk cardiac surgical patients: A multicenter study. J Cardiothorac Vasc Anesth 2012; 26:608-616.
13. Reichert CL, Visser CA, van den Brink RB, et al. Prognostic value of biventricular function in hypotensive patients after cardiac surgery as assessed by transesophageal echocardiography. J Cardiothorac Vasc Anesth 1992; 6:429-432.
14. Davila-Roman VG, Waggoner AD, Hopkins WE, et al. Right ventricular dysfunction in low output syndrome after cardiac operations: Assessment by transesophageal echocardiography. Ann Thorac Surg 1995; 60:1081-L086.
15. Kaul TK, Fields BL. Postoperative acute refractory right ventricular failure: Incidence, pathogenesis, management and prognosis. Cardiovasc Surg 2000; 8:1-9.
16. Haddad F, Fisher P, Pham M, et al. Right ventricular dysfunction predicts poor outcome following hemodynamically compromising rejection. J Heart Lung Transplant 2009; 28:312-319.
17. Denault AY, Pearl RG, Michler RE, et al. Multicentered trial of Tezosentan in cardiac surgery. Can J Anesth 2010; S227.
18. Strumpher J, Jacobsohn E. Pulmonary hypertension and right ventricular dysfunction: Physiology and perioperative management. J Cardiothorac Vasc Anesth 2011; 25:687-704.
19. Boyd JH, Forbes J, Nakada TA, et al. Fluid resuscitation in septic shock: A positive fluid balance and elevated central venous pressure are associated with increased mortality. Crit Care Med 2011; 39:259-265.
20. Arikan AA, Zappitelli M, Goldstein SL, et al. Fluid overload is associated with impaired oxygenation and morbidity in critically ill children. Pediatr Crit Care Med 2012; 13:253-258.
21. Fisher MR, Forfia PR, Chamera E, et al. Accuracy of Doppler echocardiography in the hemodynamic assessment of pulmonary hypertension. Am J Respir Crit Care Med 2009; 179:615-621.
22. Robitaille A, Denault AY, Couture P, et al. Importance of relative pulmonary hypertension in cardiac surgery: The mean systemic-to-pulmonary artery pressure ratio. J Cardiothorac Vasc Anesth 2006; 20:331-339. (Pubitemid 43795137)
23. Nishikawa T, Dohi S. Errors in the measurement of cardiac output by thermodilution. Can J Anaesth 1993; 40:142-L53.
24. Heerdt PM, Blessios GA, Beach ML, et al. Flow dependency of error in thermodilution measurement of cardiac output during acute tricuspid regurgitation. J Cardiothorac Vasc Anesth 2001; 15:183-L87.
25. Balik M, Pachl J, Hendl J. Effect of the degree of tricuspid regurgitation on cardiac output measurements by thermodilution. Intensive Care Med 2002; 28:1117-L121.
26. Kavarana MN, Pessin-Minsley MS, Urtecho J, et al. Right ventricular dysfunction and organ failure in left ventricular assist device recipients: A continuing problem. Ann Thorac Surg 2002; 73:745-750. (Pubitemid 34188307)
27. Kinch JW, Ryan TJ. Right ventricular infarction. N Engl J Med 1994; 330:1211-L217.
28. Goldstein JA, Barzilai B, Rosamond TL, et al. Determinants of hemodynamic compromise with severe right ventricular infarction. Circulation 1990; 82: 359-368. (Pubitemid 20257814)
29. Haddad F, Couture P, Tousignant C, et al. The right ventricle in cardiac surgery, a perioperative perspective: I. Anatomy, physiology, and assessment. Anesth Analg 2009; 108:407-421.
30. Denault A, Deschamps A, Tardif JC, et al. Pulmonary hypertension in cardiac surgery. Curr Cardiol Rev 2010; 6:1-L4.
31. Denault AY, Chaput M, Couture P, et al. Dynamic right ventricular outflow tract obstruction in cardiac surgery. J Thorac Cardiovasc Surg 2006; 132:43-49. (Pubitemid 44202215)
32. Neira VM, Gardin L, Ryan G, et al. A transesophageal echocardiography examination clarifies the cause of cardiovascular collapse during scoliosis surgery in a child. Can J Anesth 2011; 58:451-455.
33. Denault AY. Difficult separation from cardiopulmonary bypass: Importance, mechanism and prevention (PhD Thesis: Www.mediaenligne.umontreal.ca/ medclin/anesth/denault-phd.wmv) Université de Montré al; 2010.
34. Denault AY, Couture P, Vegas, et al. Transesophageal Echocardiography Multimedia Manual, Second Edition: A Perioperative Transdisciplinary Approach. New York: Informa Healthcare; 2010.
35. Denault AY, Ferraro P, Couture P, et al. Transesophageal echocardiography monitoring in the intensive care department: The management of hemodynamic instability secondary to thoracic tamponade after single lung transplantation. J Am Soc Echocardiogr 2003; 16:688-692. (Pubitemid 37432354)
36. Silbiger JJ. Mechanistic insights into ischemic mitral regurgitation: Echocardiographic and surgical implications. J Am Soc Echocardiogr 2011; 24:707-719.
37. Rochon AG, L'Allier PL, Denault AY. Always consider left ventricular outflow tract obstruction in hemodynamically unstable patients. Can J Anesth 2009; 56:962-968.
38. Sukernik MR, Mets B, Bennett-Guerrero E. Patent foramen ovale and its significance in the perioperative period. Anesth Analg 2001; 93:1137-L146.
39. Lichtenstein DA, Meziere GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: The BLUE protocol. Chest 2008; 134:117-L25.
40. Volpicelli G, Elbarbary M, Blaivas M, et al. International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 2012; 38:577-591.
41. Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the Echocardiographic Assessment of the Right Heart in Adults: A Report from the American Society of Echocardiography Endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr 2010; 23:685-713.
42. Karhausen J, Dudaryk R, Phillips-Bute B, et al. Three-Dimensional transesophageal echocardiography for perioperative right ventricular assessment. Ann Thorac Surg 2012; 94:468-474.
43. Shi Y, Denault AY, Couture P, et al. Biventricular diastolic filling patterns after coronary artery bypass graft surgery. J Thorac Cardiovasc Surg 2006; 131:1080-L086.
44. Gomez CM, Palazzo MG. Pulmonary artery catheterization in anaesthesia and intensive care. Br J Anaesth 1998; 81:945-956. (Pubitemid 28561331)
45. Denault AY, Belisle S, Babin D, et al. Difficult separation from cardiopulmonary bypass and deltaPCO2. Can J Anaesth 2001; 48:196-L99.
46. Demers P, Elkouri S, Martineau R, et al. Outcome with high blood lactate levels during cardiopulmonary bypass in adult cardiac operation. Ann Thorac Surg 2000; 70:2082-2086. (Pubitemid 32015312)
47. Fischer GW, Lin HM, Krol M, et al. Noninvasive cerebral oxygenation may predict outcome in patients undergoing aortic arch surgery. J Thorac Cardiovasc Surg 2011; 141:815-821.
48. Casati A, Fanelli G, Pietropaoli P, et al. Monitoring cerebral oxygen saturation in elderly patients undergoing general abdominal surgery: A prospective cohort study. Eur J Anaesthesiol 2007; 24:59-65. (Pubitemid 44923847)
49. Casati A, Fanelli G, Pietropaoli P, et al. Continuous monitoring of cerebral oxygen saturation in elderly patients undergoing major abdominal surgery minimizes brain exposure to potential hypoxia. Anesth Analg 2005; 101:740-747. (Pubitemid 41208505)
50. Murkin JM, Adams SJ, Novick RJ, et al. Monitoring brain oxygen saturation during coronary bypass surgery: A randomized, prospective study. Anesth Analg 2007; 104:51-58. (Pubitemid 46360419)
51. Heringlake M, Garbers C, Kabler JH, et al. Preoperative cerebral oxygen saturation and clinical outcomes in cardiac surgery. Anesthesiology 2011; 114:58-69.
52. Maslow A, Stearns G, Bert A, et al. Monitoring end-tidal carbon dioxide during weaning from cardiopulmonary bypass in patients without significant lung disease. Anesth Analg 2001; 92:306-313. (Pubitemid 32127607)
53. Baraka AS, Aouad MT, Jalbout MI, et al. End-tidal CO2 for prediction of cardiac output following weaning from cardiopulmonary bypass. J Extra Corpor Technol 2004; 36:255-257. (Pubitemid 39453162)
54. Denault A, Deschamps A. Abnormal aortic-to-radial arterial pressure gradients resulting in misdiagnosis of hemodynamic instability. Can J Anesth 2009; 56:534-536.
55. Markin NW, Montzingo CR, Shillcutt SK, et al. Echo rounds: Intraoperative transesophageal echocardiography diagnosis of rare source of right ventricular failure after heart transplant. Anesth Analg 2012; 115:257-260.
56. Lamarche Y, Cheung A, Ignaszewski A, et al. Comparative outcomes in cardiogenic shock patients managed with Impella microaxial pump or extracorporeal life support. J Thorac Cardiovasc Surg 2011; 142:60-65.
57. Downing SW, Edmunds LH Jr. Release of vasoactive substances during cardiopulmonary bypass. Ann Thorac Surg 1992; 54:1236-L243.
58. Martineau A, Arcand G, Couture P, et al. Transesophageal echocardiographic diagnosis of carbon dioxide embolism during minimally invasive saphenous vein harvesting and treatment with inhaled epoprostenol. Anesth Analg 2003; 96:962-964. (Pubitemid 36359025)
59. Hache M, Denault AY, Belisle S, et al. Inhaled prostacyclin (PGI2) is an effective addition to the treatment of pulmonary hypertension and hypoxia in the operating room and intensive care unit. Can J Anaesth 2001; 48:924-929. (Pubitemid 33150289)
60. Hache M, Denault AY, Belisle S, et al. Inhaled epoprostenol (prostacyclin) and pulmonary hypertension before cardiac surgery. J Thorac Cardiovasc Surg 2003; 125:642-649. (Pubitemid 36373912)
61. Denault AY, Lamarche Y, Couture P, et al. Inhaled milrinone: A new alternative in cardiac surgery? Semin Cardiothorac Vasc Anesth 2006; 10:346-360. (Pubitemid 44706857)
62. Lamarche Y, Perrault LP, Maltais S, et al. Preliminary experience with inhaled milrinone in cardiac surgery. Eur J Cardiothorac Surg 2007; 31:1081-L087.
63. Angel Gomez-Sanchez M, Saenz DLCC, Escribano SP, et al. Pilot assessment of the response of several pulmonary hemodynamic variables to sublingual sildenafil in candidates for heart transplantation. Eur J Heart Fail 2004; 6:615-617. (Pubitemid 39070516)
64. Freitas AF Jr, Bacal F, Oliveira JL Jr, et al. Impact of sublingual sildenafil on pulmonary hypertension in patients with heart failure. Arq Bras Cardiol 2009; 92:116-L26.
65. Gordon C, Collard CD, Pan W. Intraoperative management of pulmonary hypertension and associated right heart failure. Curr Opin Anesthesiol 2010; 23:49-56.