Paluszkiewicz Lech, Börgermann Jochen
Department of Thoracic and Cardiovascular Surgery, Heart and Diabetes Center Nordrhine-Westphalia, Ruhr University Bochum, Bad Oeynhausen, Germany.
Interact Cardiovasc Thorac Surg. 2018 Dec 1;27(6):931-937. doi: 10.1093/icvts/ivy303.
The number of implanted left ventricular assist devices is increasing systematically. Novel systems are being introduced and survival rates are improving, but complications, such as heart failure, leading to high early and late mortality still exist. Echocardiography is the preferred method for assessing the anatomy and function of the right ventricle (RV). In spite of the many methods available for use, including 2- and 3-dimensional techniques, assessment of the RV remains challenging. In this review, we present echocardiographic parameters that are most often used to assess right ventricular anatomy and function, and analyse their ability to predict right heart failure after the implantation of a left ventricular assist device.
植入式左心室辅助装置的数量正在系统性增加。新型系统不断推出,生存率也在提高,但诸如心力衰竭等并发症导致的早期和晚期高死亡率仍然存在。超声心动图是评估右心室(RV)解剖结构和功能的首选方法。尽管有多种可用方法,包括二维和三维技术,但对右心室的评估仍然具有挑战性。在本综述中,我们介绍了最常用于评估右心室解剖结构和功能的超声心动图参数,并分析了它们预测左心室辅助装置植入后右心衰竭的能力。