Echocardiographic predictors of unfavorable result of the operation of pulmonary thromboendarterectomy
Автор: Matveeva N.V., Chernyavsky A.M., Nartsissova G.P., Alyapkina E.M., Chernyavsky M.A., Prokhorova D.S., Volokitina T.L.
Журнал: Патология кровообращения и кардиохирургия @journal-meshalkin
Рубрика: Кардиология
Статья в выпуске: 2 т.14, 2010 года.
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The analysis of parameters of the left and right heart departments at patients with chronic thromboembolic pulmonary hypertension (CTEPH) is presented. 27 patients have been included in research. From them 15 men and 12 women, age 48±8,5 years. Revealing echocardiographic criteria as a predictor of unsatisfactory result of surgical treatment of patients with CTEPH in the early postoperative period after pulmonary thromboendarterectomy became a research objective. All patients have been distributed on two groups: with satisfactory result after pulmonary thromboendarterectomy and with a fatal outcome. By results of preoperative study the right ventricle end diastolic volume in patients of group with a fatal outcome exceeded left ventricle end diastolic volume in two and more times in 100% of cases. Among the I group patients such parity was met only at 2 patients (9,35%). Comparing the echocardiographic data with angiopulmonagraphy data and clinical picture, it is possible to conclude that obvious discrepancy of RVEDV and LVEDV is a surgical treatment failure predictor and excess of RVEDV over LVEDV in two and more times is the high risk factor of postoperative mortality at patients with CTEPH.
Echocardiography, chronic thromboembolic pulmonary hypertension, pulmonary thromboendarterectomy, end diastolic volume, left ventricle, right ventricle
Короткий адрес: https://sciup.org/142140332
IDR: 142140332