Two-dimensional (2D) speckle tracking deformation imaging for assessment of systemic right ventricular function in post Senning patients
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Author(s)
Abstract
Background: Right ventricular (RV) dysfunction in atrial switch patients has an important prognostic significance. The quantitative echocardiographic modalities (strain & strain rate) enhanced RV function noninvasive assessment. Methods: 28 patients with complete TGA who underwent Senning procedure were included and divided into 2 groups; group I: 20 patients beyond 5 years and group II: 8 patients less than 5 years. All patients were subjected to echo assessment of RV function by traditional parameters and 2D global longitudinal strain (GLS) & global systolic strain rate (GSSR) before and after low dose dobutamine stress test (2.5 µg/kg/min, increased maximally to 10 µg/kg/min). Also all patients were subjected to 24 hours Holter monitoring. Results: 2D GLS was worse in all patients than normal values (basally: -11.47±1.31% for group I and -17.78±0.96% for group II, P<0.001*) (post dobutamine: -12.30±2.93% for group I and -18.50±1.07% for group II, P<0.001*). Also, GSSR was worse (basally: -0.62±0.11/S for g
Keywords
Senning patients; Strain indices; Right ventricular function; systemic right ventricle; Speckle tracking; global longitudinal strain.
Cite this paper
Elshedoudy Sahar, Taha Fatma, Adel Mona, Taha Fatma,
Two-dimensional (2D) speckle tracking deformation imaging for assessment of systemic right ventricular function in post Senning patients
, SCIREA Journal of Clinical Medicine.
Volume 4, Issue 4, August 2019 | PP. 94-108.
References
[ 1 ] | A. Senning. Surgical correction of transposition of the great vessels Surgery. 45 (1959), pp. 966–980 View Record in Scopus | Citing articles (334) |
[ 2 ] | S. Piran, G. Veldtman, S. Siu, et al. Heart failure and ventricular dysfunction in patients with single or systemic right ventricles Circulation, 105 (2002), pp. 1189–1194 CrossRef | View Record in Scopus | Citing articles (256) |
[ 3 ] | P. Moons, M. Gewillig, T. Sluysmans, et al. Long term outcome up to 30 years after the Mustard or Senning operation: a nationwide multicentre study in Belgium Heart, 90 (2004), pp. 307–313 CrossRef | View Record in Scopus | Citing articles (128) |
[ 4 ] | J.W. Roos-Hesselink, F.J. Meijboom, S.E. Spitaels, et al. Decline in ventricular function and clinical condition after Mustard repair for transposition of the great arteries (a prospective study of 22–29 years) Eur Heart J, 25 (2004), pp. 1264–1270 View Record in Scopus | Citing articles (149) |
[ 5 ] | A. Sigal-Cinqualbre, V. Lambert, A. Ronhean, et al. Role of MSCT and MRI in the diagnosis of congenital heart disease Arch Pediatr, 18 (2011), pp. 617–627 |
[ 6 ] | J.M. Bos, D.J. Hagler, S. Silvilairat, et al. Right ventricular function in asymptomatic individuals with a systemic right ventricle J Am Soc Echocardiogr, 19 (2006), pp. 1033–1037 |
[ 7 ] | P.A. Davlouros, K. Niwa, G. Webb, et al. The right ventricle in congenital heart disease Heart, 92 (Suppl. 1) (2006), pp. i27-i38 |
[ 8 ] | A.P. Kalogeropoulos, V.V. Georgiopoulou, G. Giamouzis, et al. Myocardial deformation imaging of the systemic right ventricle by two-dimensional strain echocardiography in patients with d-transposition of the great arteries Hellenic J Cardiol, 50 (2009), pp. 275-282 |
[ 9 ] | A.P. Kalogeropoulos, A. Deka, W. Border, et al. Right ventricular function with standard and speckle-tracking echocardiography and clinical events in adults with D-transposition of the great arteries post atrial switch J Am Soc Echocardiogr, 25 (2012), pp. 304-312 |
[ 10 ] | M. Becker, C. Humpel, C. Ocklenburg, et al. The right ventricular response to high afterload: comparison between healthy persons and patients with transposition of the great arteries: a 2D strain study Echocardiography, 27 (2010), pp. 1256-1262 |
[ 11 ] | E. Pettersen, T. Helle-Valle, T. Edvardsen, et al. Contraction pattern of the systemic right ventricle shift from longitudinal to circumferential shortening and absent global ventricular torsion J Am Coll Cardiol, 49 (2007), pp. 2450-2456 |
[ 12 ] | G.P. Derrick, I. Narang, P.A. White, A. Kelleher, A. Bush, D.J. Penny, et al. Failure of stroke volume augmentation during exercise and dobutamine stress is unrelated to load dependent indexes of right ventricular performance after the Mustard operation. Circulation, 102 (2000), pp. 154-159 |
[ 13 ] | A.M. De Souza, J.E. Potts, M.T. Potts, E.S. De Souza, T.W. Rowland, S.L. Pritchard, et al. A stress echocardiography study of cardiac function during progressive exercise in pediatric oncology patients treated with anthracyclines. Pediatr Blood Cancer, 49 (2007), pp. 56-64 |
[ 14 ] | R. Sarnari, R.Y. Kamal, M.K. Friedberg, N.H. Silverman. Doppler assessment of the ratio of the systolic to diastolic duration in normal children: relation to heart rate, age and body surface area. J Am Soc Echocardiogr, 22 (2009), pp. 928-932 |
[ 15 ] | M. Lipczynska, P. Szymański, M. Kumor, A. Klisiewicz, L. Mazurkiewicz, P. Hoffman, et al. Global longitudinal strain may identify preserved systolic function of the systemic right ventricle. Can J Cardiol, 31 (2015), pp. 760-766 |
[ 16 ] | T.C. Poerner, B. Goebel, H.R. Figulla, H.E. Ulmer, M. Gorenflo, M. Borggrefe, et al. Diastolic biventricular impairment at long term follow up after atrial switch operation for complete transposition of the great arteries: an exercise tissue Doppler echocardiography study. J Am Soc Echocardiogr, 20 (2007), pp. 1285-1293 |
[ 17 ] | Merav Dvir-Orgad, Meera Anand, Astrid M. De Souza, Mary T. Zadorsky RDCS, Marla C. Kiess, James E. Potts, George G. S. Sandor. Stress Echocardiographic Evaluation for D-Transposition of the Great Arteries after Atrial Redirection: Unmasking Early Signs of Myocardial Dysfunction and Baffle Stenosis. Journal of the American society of Echocardiography. Volume 30, Issue 1, January 2017, Pages 80-89 |