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Date Published: 13/01/2022
Abstract Views: 159
Views PDF: 119
DOI: https://doi.org/10.51298/vmj.v509i2.1835
Issue
Vol. 509 No. 2 (2021)
Section
Các bài báo
How to Cite
Đoàn Trung, N. ., Thị Thu Hoài, N. ., & Thị Bạch Yến, N. . (2022). TO EVALUATE RIGHT VENTRICULAR FUNCTION ON CARDIAC DOPPLER ECHOCARDIOGRAPHY IN PATIENTS WITH CHRONIC MITRAL REGURGITATION BEFORE AND AFTER VALVE REPLACEMENT OR MITRAL VALVE REPAIR. Vietnam Medical Journal, 509(2). https://doi.org/10.51298/vmj.v509i2.1835

TO EVALUATE RIGHT VENTRICULAR FUNCTION ON CARDIAC DOPPLER ECHOCARDIOGRAPHY IN PATIENTS WITH CHRONIC MITRAL REGURGITATION BEFORE AND AFTER VALVE REPLACEMENT OR MITRAL VALVE REPAIR

Nguyễn Đoàn Trung1,, Nguyễn Thị Thu Hoài1, Nguyễn Thị Bạch Yến1
1 Vietnam National Heart Institute, Bach Mai Hospital

Main Article Content

Abstract

Objective: To evaluate right ventricular function on cardiac Doppler echocardiography in patients with chronic mitral regurgitation before and after valve replacement or mitral valve repair at the Vietnam Heart Institute. Methods: Our study was carried out on 38 patients with true mitral regurgitation with indications for surgery according to the recommendations for management of mitral regurgitation (according to AHA/ACC 2017 or the Vietnam Heart Association if required). yes), the patients were operated on at the Cardiology Institute surgical unit. All patients were collected data on clinical characteristics, subclinical and coronary intervention results, echocardiographic results to evaluate research parameters. Results: Preoperative right ventricular atrophy index (0.42 ± 0.05) and preoperative right ventricular atrophy index (0.52 ± 0.04) showed a significant difference compared with the postoperative index (0.36 ± 0.02 and 0.44 ± 0.04). About right ventricular systolic function: Tricuspid annulus velocity before and after surgery was statistically significant (17.45 ± 0.98 and 20.38 ± 3.48). The S' wave velocity on the tissue Doppler of the study subjects had an increased mean value after surgery compared to before surgery (8.86 ± 0.55 and 11.4 ± 3.14). Right ventricular area index (FAC) of the study subjects increased after surgery (35.45 ± 1.48 and 39.86 ± 5.02). Conclusion: In patients with chronic mitral regurgitation, the right ventricular function after surgery has improved compared to before surgery.

Article Details

Keywords

Echocardiography, chronic severe mitral regurgitation, mitral valve replacement or repair surgery, right ventricular function on echocardiography

References

1. Tạ Thị Dinh, Nguyễn Thị Thu Hoài & Đỗ Doãn Lợi. Đánh giá hình thái và mức độ hở 2 lá bằng siêu âm tim 2D, 3D ở bệnh nhân hở hai lá có chỉ định phẫu thuật. (Đại học Y Hà Nội, 2017).
2. Nguyễn Thị Thu Hoài. Vai trò của siêu âm tim trong can thiệp bệnh lý hở hai lá. Kỷ yếu hội nghị Tim mạch toàn quốc 23–56 (2016).
3. Le Tourneau, T. et al. Right ventricular systolic function in organic mitral regurgitation: impact of biventricular impairment. Circulation127, 1597–1608 (2013).
4. Chrustowicz, A., Gackowski, A., El-Massri, N., Sadowski, J. & Piwowarska, W. Preoperative right ventricular function in patients with organic mitral regurgitation. Echocardiography27, 282–285 (2010).
5. Borer, J. S., Hochreiter, C. & Rosen, S. Right ventricular function in severe non-ischaemic mitral insufficiency. Eur Heart J12 Suppl B, 22–25 (1991).
6. Sun, X., Ellis, J., Kanda, L. & Corso, P. J. The role of right ventricular function in mitral valve surgery. Heart Surg Forum16, E170-176 (2013).
7. Hyllén, S. et al. Right Ventricular Performance After Valve Repair for Chronic Degenerative Mitral Regurgitation. The Annals of Thoracic Surgery98, 2023–2030 (2014).