Research progress on the presurgical evaluation of giant left ventricle associated with valvular disease
- VernacularTitle:瓣膜疾病相关巨大左室的外科术前评估研究进展
- Author:
Hao NIU
1
;
Zhenghua XIAO
1
Author Information
1. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
- Publication Type:Journal Article
- Keywords:
Giant left ventricle;
myocardial fibrosis;
circulating markers;
echocardiography;
cardiac magnetic resonance imaging
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(01):116-121
- CountryChina
- Language:Chinese
-
Abstract:
Due to the abnormal structure and function of the cardiac valves, cardiac valve disease gradually appears the expansion of left ventricular inner diameter and volume. When the left ventricular end-diastolic dimension and volume expand severely, it becomes a giant left ventricle. Surgical valve replacement is still one of the main treatment methods for this disease. The degree of postoperative ventricular recovery is closely related to perioperative mortality and long-term prognosis. However, the existing clinical preoperative assessment methods still cannot accurately predict the degree of postoperative left ventricular recovery and long-term prognosis of such patients, so it is difficult to determine the optimal operation timing and surgical methods for patients. Therefore, we reviewed the existing literature and discussed different evaluation methods of the giant left ventricle associated with valvular disease before surgery, so as to optimize the perioperative treatment of such patients, clarify the timing of surgery and improve the prognosis.
