Right ventricular functional assessment by three-dimensional transesophageal echocardiography is useful for withdrawal from a right ventricular assist device: a case report

Right ventricular functional assessment by three-dimensional transesophageal echocardiography is... Right ventricular assist device (RVAD) implantation is one type of surgical treatment used for right heart failure. It is important to assess right ventricular (RV) function precisely when RVAD withdrawal is considered. Although assessment of RV function is difficult due to its complicated shape and contraction pattern, the volumetric analysis method of three-dimensional (3D) transesophageal echocardiography (TEE) has been developed and is useful for this task. We report the case of a 79-year-old man who successfully underwent RVAD withdrawal and evaluation using 3D TEE. 3D TEE had an important role in determining the timing of withdrawal from RVAD in this case. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JA Clinical Reports Springer Journals

Right ventricular functional assessment by three-dimensional transesophageal echocardiography is useful for withdrawal from a right ventricular assist device: a case report

Right ventricular functional assessment by three-dimensional transesophageal echocardiography is useful for withdrawal from a right ventricular assist device: a case report

Right ventricular assist device (RVAD) implantation is one type of surgical treatment used for right heart failure. It is important to assess right ventricular (RV) function precisely when RVAD withdrawal is considered. Although assessment of RV function is difficult due to its complicated shape and contraction pattern, the volumetric analysis method of three-dimensional (3D) transesophageal echocardiography (TEE) has been developed and is useful for this task. We report the case of a 79-year-old man who successfully underwent RVAD withdrawal and evaluation using 3D TEE. 3D TEE had an important role in determining the timing of withdrawal from RVAD in this case. Keywords: Three-dimensional transesophageal echocardiography, Right ventricular function, Right ventricular assist device Background showed progression of stenosis (aortic valve area of Temporary right ventricular assist device (RVAD) 0.76 cm , mean pressure gradient of 58 mmHg, peak implantation is an acceptable treatment for managing pressure gradient of 89 mmHg, left ventricular ejection postoperative right ventricular (RV) failure in severely ill fraction of 69%). Aortic valve replacement and pulmon- patients after cardiac surgery and left ventricular assist ary vein isolation for paroxysmal atrial fibrillation were device (LVAD) recipients [1, 2]. Because criteria for scheduled. During the procedure, the right coronary RVAD withdrawal have not yet been established, it is artery base was damaged and acute right heart failure important to assess RV function to determine whether developed. Although right coronary bypass grafting RVAD can be removed. Although conventional two- (aorta-saphenous vein–right coronary artery) was per- dimensional (2D) echocardiography (2DE) is often per- formed, RV function did not improve. Therefore, RVAD formed to assess RV function, there are limits when was implanted. Assessment of RV function was attempted measuring complicated RV [3, 4]. We report a case of using...
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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by The Author(s)
Subject
Medicine & Public Health; Anesthesiology; Pain Medicine; Intensive / Critical Care Medicine; Emergency Medicine
eISSN
2363-9024
D.O.I.
10.1186/s40981-017-0112-7
Publisher site
See Article on Publisher Site

Abstract

Right ventricular assist device (RVAD) implantation is one type of surgical treatment used for right heart failure. It is important to assess right ventricular (RV) function precisely when RVAD withdrawal is considered. Although assessment of RV function is difficult due to its complicated shape and contraction pattern, the volumetric analysis method of three-dimensional (3D) transesophageal echocardiography (TEE) has been developed and is useful for this task. We report the case of a 79-year-old man who successfully underwent RVAD withdrawal and evaluation using 3D TEE. 3D TEE had an important role in determining the timing of withdrawal from RVAD in this case.

Journal

JA Clinical ReportsSpringer Journals

Published: Aug 15, 2017

References

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