Right heart function in thoracic surgery: Role of echocardiography Journal Article
| Authors: | Pedoto, A.; Amar, D. |
| Article Title: | Right heart function in thoracic surgery: Role of echocardiography |
| Abstract: | Purpose of review As part of the preoperative evaluation, echocardiography provides noninvasive assessment of cardiovascular status in patients scheduled for lung resection, especially in the presence of chronic elevation of pulmonary arterial pressures. The goal of this review is to summarize the recent literature on the topic. Recent findings Changes in right ventricular function can occur acutely during lung transplantation or occasionally during lung resection. In the postoperative period, changes in right heart function will depend on preexisting pulmonary hypertension, and whether it is exacerbated by worsening chronic obstructive pulmonary disease, pneumonia or development of the adult respiratory distress syndrome. Currently, it remains controversial whether routine lung resection leads to clinically significant changes in right heart function. Summary The use of echocardiography in the perioperative setting can be useful in diagnosing and treating right ventricular dysfunction, especially when associated with hemodynamic instability unresponsive to conventional treatment, or arrhythmias, which all may occur after lung resection. © 2009 Wolters Kluwer Health|Lippincott Williams & Wilkins. |
| Keywords: | review; lung resection; pneumonectomy; echocardiography; transesophageal echocardiography; thorax surgery; disease exacerbation; monitoring, intraoperative; chronic obstructive lung disease; transthoracic echocardiography; right ventricular dysfunction; adult respiratory distress syndrome; heart function; heart right ventricle; heart right ventricle failure; hypertranslucent lung; lung transplantation; pulmonary artery catheter; echocardiography, transesophageal; thoracic surgical procedures; ventricular dysfunction, right; ventricular function, right |
| Journal Title: | Current Opinion in Anaesthesiology |
| Volume: | 22 |
| Issue: | 1 |
| ISSN: | 0952-7907 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2009-01-01 |
| Start Page: | 44 |
| End Page: | 49 |
| Language: | English |
| DOI: | 10.1097/ACO.0b013e32831d7b72 |
| PUBMED: | 19295291 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 2" - "Export Date: 30 November 2010" - "CODEN: COAEE" - "Source: Scopus" |
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