Echocardiographic evidence of right ventricular remodeling after transplantation Holger K Eltzschig, MD, Tomislav Mihaljevic, MD, John G Byrne, MD, Raila.

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Presentation transcript:

Echocardiographic evidence of right ventricular remodeling after transplantation Holger K Eltzschig, MD, Tomislav Mihaljevic, MD, John G Byrne, MD, Raila Ehlers, MD, Brian Smith, Stanton K Shernan, MD The Annals of Thoracic Surgery Volume 74, Issue 2, Pages 584-586 (August 2002) DOI: 10.1016/S0003-4975(02)03576-2

Fig 1 Intraoperative transesophageal echocardiography (mid-esophageal four-chamber view) after orthotopic cardiac transplantation while attempting to wean the patient from cardiopulmonary bypass demonstrates severe right ventricular failure. During systole, the interventricular septum bows towards the left ventricle. The right ventricle appears hypokinetic and dilated: right ventricular free wall (a) = 7 mm; interventricular septum (b) = 10 mm. (LV = left ventricle; RV = right ventricle.) The Annals of Thoracic Surgery 2002 74, 584-586DOI: (10.1016/S0003-4975(02)03576-2)

Fig 2 Intraoperative transesophageal echocardiographic imaging of the right ventricle during removal of the right ventricular assist device on posttransplant day 22. (A) The right ventricle appears hypertrophic without signs of failure (mid-esophageal four-chamber view): right ventricular free wall (a) = 13 mm; interventricular septum (b) = 18 mm. (B) Echocardiographic M-mode evaluation of the right ventricle (transgastric mid-short axis view) demonstrates fractional shortening of 40%: diastolic diameter (D) = 33 mm; systolic diameter (S) = 19 mm. (LV = left ventricle; RA = right atrium; RV = right ventricle.) The Annals of Thoracic Surgery 2002 74, 584-586DOI: (10.1016/S0003-4975(02)03576-2)