From the Department of Anesthesiology and Intensive Care Medicine, University Hospital of Cologne and Faculty of Medicine, University of Cologne, Cologne, Germany.
Department of Anesthesiology, Zurich City Hospital, Zurich, Switzerland.
A A Pract. 2024 Jul 15;18(7):e01826. doi: 10.1213/XAA.0000000000001826. eCollection 2024 Jul 1.
Right ventricular myocardial work is an echocardiographic technique yielding significant insights into cardiac mechanics, energetics, and efficiency. Combining right ventricular myocardial strain with loading conditions correlates with invasively measured myocardial work and myocardial oxygen consumption. This method has not yet been described intraoperatively by transesophageal echocardiography. We describe this technique during a left ventricular assist device implantation. This case demonstrates that right ventricular myocardial work indices can be monitored intraoperatively and might assist decisions during left ventricular assist device implantation.
右心室心肌做功是一种超声心动图技术,可深入了解心脏力学、能量学和效率。将右心室心肌应变与负荷条件相结合,与侵入性测量的心肌做功和心肌耗氧量相关。这种方法尚未通过经食管超声心动图在术中进行描述。我们在左心室辅助装置植入术中描述了该技术。该病例表明,右心室心肌做功指数可以在术中监测,并可能有助于左心室辅助装置植入过程中的决策。