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

Author:

Zanobini Marco1ORCID,Saccocci Matteo1ORCID,Tamborini Gloria1,Veglia Fabrizio1,Di Minno Alessandro2ORCID,Poggio Paolo2ORCID,Pepi Mauro1,Alamanni Francesco1,Loardi Claudia1

Affiliation:

1. Department of Cardiology and Cardiac Surgery, Centro Cardiologico Monzino, IRCCS, University of Milan, Milan, Italy

2. Unit of Metabolomics and Cellular Biochemistry of Atherothrombosis, Centro Cardiologico Monzino, IRCCS, Milan, Italy

Abstract

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 withp<0.0001.

Publisher

Hindawi Limited

Subject

General Immunology and Microbiology,General Biochemistry, Genetics and Molecular Biology,General Medicine

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