Perioperative protection for right heart in patients with apical displacement of tricuspid valve leaflets
- VernacularTitle:三尖瓣下移畸形的围术期右心保护管理
- Author:
Zhen QIN
1
;
Ming LUO
1
;
Lei DU
1
;
Jing LIN
1
Author Information
1. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
- Publication Type:Journal Article
- Keywords:
Apical displacement of tricuspid valve leaflets;
perioperative period;
right heart protection
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(12):1403-1406
- CountryChina
- Language:Chinese
-
Abstract:
The apical displacement of tricuspid valve leaflets complicated with significantly enlarged, thin and fibrotic wall of the right ventricle is prone to dysfunction of right heart. Therefore, the myocardial protection for the right ventricle is important. Based on the pathological changes, an algorithm of perioperative myocardial protection strategy is summarized. Firstly, we should clearly know that the right ventricular myocardium with severe lesions is much different from the unimpaired myocardium, because it is now on the margin of failure; secondly, right heart protection should be regarded as a systematic project, which runs through preoperative, intraoperative and postoperative periods, and requires close collaboration among surgeons, perfusionists, anesthesiologists and ICU physicians. In this article, we try to introduce the systematic project of the right heart protection, in order to improve the outcome of this population.
