Advertisement

Commentary: For Once, the Right Deserves a Little More Attention

  • Jeffrey E. Keenan
    Correspondence
    Address reprint requests to Jeffrey E. Keenan, MD, Department of Surgery, Division of Cardiothoracic Surgery, University of Washington Medical Center, 1959 NE Pacific Street Box #356410, Seattle, WA
    Affiliations
    Department of Surgery, Division of Cardiothoracic Surgery, University of Washington Medical Center, Seattle, Washington
    Search for articles by this author
  • Gabriel S. Aldea
    Affiliations
    Department of Surgery, Division of Cardiothoracic Surgery, University of Washington Medical Center, Seattle, Washington
    Search for articles by this author
      Cardiac surgeons need to fully understand an emerging spectrum of multi-modality imaging techniques that assess different aspects of right ventricular function to better select treatment options.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Seminars in Thoracic and Cardiovascular Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Haddad F.
        • Couture P.
        • Tousignant C.
        • et al.
        The right ventricle in cardiac surgery, a perioperative perspective: II. Pathophysiology, clinical importance, and management.
        Anesth Analg. 2009; 108: 422-433
        • Asami M.
        • Stortecky S.
        • Praz F.
        • et al.
        Prognostic Value of Right Ventricular Dysfunction on Clinical Outcomes After Transcatheter Aortic Valve Replacement.
        JACC Cardiovasc Imaging. 2019; 12: 577-587
        • Peyrou J.
        • Chauvel C.
        • Pathak A.
        • et al.
        Preoperative right ventricular dysfunction is a strong predictor of 3 years survival after cardiac surgery.
        Clin Res Cardiol. 2017; 106: 734-742
        • Antevil J.L.
        • Napolitano M.A.
        • Mordini F.E.
        • McCarthy P.M.
        • Trachiotis G.D.
        The Right Ventricle in the Trans-Catheter Era: A Perspective for Planning Interventions.
        Semin Cardiovasc Thor Surg. 2022; 34: 892-901
        • O'Brien S.M.
        • Shahian D.M.
        • Filardo G.
        • et al.
        The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 2–isolated valve surgery.
        Ann Thorac Surg. 2009; 88: S23-S42
        • Writing Committee M.
        • Otto C.M.
        • Nishimura R.A.
        • et al.
        2020 ACC/AHA guideline for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
        J Thorac Cardiovasc Surg. 2021; 162: e183-e353
        • Rotar E.
        • Lim D.S.
        • Ailawadi G.
        Risk stratification for surgery in tricuspid regurgitation.
        Prog Cardiovasc Dis. 2019; 62: 500-504
        • Ren B.
        • Spitzer E.
        • Geleijnse M.L.
        • et al.
        Right ventricular systolic function in patients undergoing transcatheter aortic valve implantation: A systematic review and meta-analysis.
        Int J Cardiol. 2018; 257: 40-45

      Linked Article

      • The Right Ventricle in the Trans-Catheter Era: A Perspective for Planning Interventions
        Seminars in Thoracic and Cardiovascular SurgeryVol. 34Issue 3
        • Preview
          Dysfunction of the right ventricle (RV) is common in patients with advanced left-sided valve disease and the significant impact of RV dysfunction on both short and long-term outcome is well established. However, considerations of RV function are largely absent in current management guidelines for valve disease and cardiac procedural risk models. As the indications and use of trans-catheter therapies rapidly expand for patients with acquired valvular disease, it is critical for clinicians to understand and consider RV function when making decisions for these patients.
        • Full-Text
        • PDF