Modified Tricuspid Annular Plane Systolic Excursion Using Transesophageal Echocardiography and Its Utility to Predict Postoperative Course in Heart Transplantation and Left Ventricular Assist Device Implantation

Document Type

Article

Publication Date

6-1-2018

Publication Title

Journal of cardiothoracic and vascular anesthesia

Abstract

OBJECTIVES: Perioperative right ventricular (RV) function is important for determining the postoperative course in heart transplantation (HT) and left ventricular assist device (LVAD) implantation. The authors describe a modified tricuspid annular plane systolic excursion (m-TAPSE) using transesophageal echocardiography and assessed its clinical utility in HT and LVAD.

DESIGN: Retrospective medical record review.

SETTING: A single tertiary-care medical center.

PARTICIPANTS: Forty-eight patients who underwent successful HT and 80 patients who underwent successful LVAD placement.

MEASUREMENTS AND MAIN RESULTS: Statistically significant correlation between m-TAPSE and RV fractional area change (FAC) was seen for HT and LVAD (r = 0.462, p < 0.01 and r = 0.597, p < 0.01, respectively). For HT, receiver operating characteristics curve analysis yielded that m-TAPSE

CONCLUSIONS: m-TAPSE validated a good correlation to RV systolic function as reflected by RV FAC for both HT and LVAD. For HT, m-TAPSE was helpful for predicting postoperative NO use; whereas for LVAD, m-TAPSE was helpful for predicting postoperative NO use and RV assist device implantation. m-TAPSE should be considered as a useful parameter to decide postoperative management for these cases.

Medical Subject Headings

Echocardiography, Transesophageal; Female; Heart Transplantation; Heart-Assist Devices; Humans; Male; Middle Aged; Retrospective Studies; Systole; Tricuspid Valve

PubMed ID

29277303

ePublication

ePub ahead of print

Volume

32

Issue

3

First Page

1316

Last Page

1324

Find It @ Sladen

Share

COinS