Abstract:Objective: To elucidate the feasibility of tricuspid annular plane systolic excursion(TAPSE) and Tei index of right ventricle(RV) to evaluate right heart function of Ebstein anomaly(EA) patients before and after operation. Methods: Forty EA patients and twenty healthy controls underwent echocardiography(UCG) for evaluation of right heart function. EA patients underwent UCG before operation,one week and three months after operation, respectively. TAPSE was measured, Tei index of RV was calculatedin four-chamber view by tissue Doppler. Results: The study result showed that the echocardiographic parameters of RV systolic function including TAPSE, RVFAC, were decreased before the operation. However, the RV Tei index which reflected both the systolic and diastolic function of RV was increased before the operation. TAPSE improved significantly both on 1 week and 3 months after the operation(P<0.01). TAPSE was correlated with RVFAC. RVFAC is not suitable for postoperative comparison with preoperative use in the assessment of RV function before and after tricuspid regurgitation correction surgery. It is only suitable for comparison between different stages after operation. Conclusion: TAPSE and RVTei index assess the preoperative and postoperative patient’s RV function. The role of the tricuspid valve repair on improving the right heart function was also confirmed, and more experience could be accumulated on evaluation of right heart function.
刘湘君,王廉一,李洪银,崔 建. TAPSE联合Tei指数评价Ebstein畸形手术前后右室功能[J]. 中国临床医学影像杂志, 2020, 31(3): 196-199.
LIU Xiang-jun, WANG Lian-yi, LI Hong-yin, CUI Jian. TAPSE and Tei index of RV to evaluate right heart function of Ebstein anomaly
patients before and after operation. JOURNAL OF CHINA MEDICAL IMAGING, 2020, 31(3): 196-199.
[1]Soloff LA, Stauffer HM, Zatuchni J. Ebstein’s disease: description of the heart of the first case diagnosed during life[J]. Am J Med Sci, 1957, 233(1): 23-27.
[2]吴清玉,黄志雄. Ebstein畸形解剖纠治术[J]. 中华外科杂志,2001,39(4):288-290.
[3]Zornoff LAM, Skali H, Pfeffer MA, et al. Right ventricular dysfunction and risk of heart failure and mortality after myocardial infarction[J]. J Am Coll Cardiol, 2002, 39(9): 1450-1455.
[4]Danielson GK, Driscoll DJ, Mair DD, et al. Operative treatment of Ebstein’s anomaly[J]. Thorac Cardiovasc Surg, 1992, 104(5): 1195-1202.
(下转203页)
(上接199页)
[5]Meluzin J, Spinarova L, Hude P, et al. Combined right ventricular systolic and diastolic dysfunction represents a strong determinant of poor prognosis in patients with symptomatic heart failure[J]. Int J Cardiol, 2005, 105(2): 164-173.
[6]Ahmad H, Mor-Avi V, Lang RM, et al. Assessment of right ventricular function using echocardiographic speckle tracking of the tricuspid annular motion: comparison with cardiac magnetic resonance[J]. Echocardiography, 2012, 29(1): 19-24.
[7]Sato T, Tsujino I, Ohira IH, et al. Validation study on the accuracy of echocardiographic measurements of right ventricular systolic function in pulmonary hypertension[J]. J Am Soc Echocardiogr, 2012, 25(3): 280-286.
[8]Speiser U, Hirschberger M, Pilz G, et al. Tricuspid annular plane systolic excursion assessed using MRI for semi-quantification of right ventricular ejection fraction[J]. Br J Radiol, 2012, 85(1017): e716-721.
[9]Valsangiacomo Buechel ER, Mertens LM. Imaging the right heart: The use of integrated multimodality imaging[J]. Eur Heart J, 2012, 33(8): 949-960.
[10]Kukulski T, Hübbert L, Arnold M, et al. Normal regional right ventricular function and its change with age: A Doppler myocardial imaging study[J]. J Am Soc Echocardiogr, 2000, 13(3): 194-204.
[11]Haber I, Metaxas DN, Geva T, et al. Three-dimensional systolic kinematics of the right ventricle[J]. Am J Physiol Heart Circ Physiol, 2005, 289(5): H1826-1833.
[12]Selton-Suty C, Juilliere Y. Non-invasive investigations of the right heart: how and why?[J]. Arch Cardiovasc Dis, 2009, 102(3): 219-232.
[13]Bhave NM, Patel AR, Weinert L, et al. Three-dimensional modeling of the right ventricle from two-dimensional transthoracic echo cardiographic images: utility of knowledge-based reconstruction in pulmonary arterial hypertension[J]. J Am Soc Echocardiogr, 2013, 26(8): 860-867.
[14]Tei C, Dujardin KS, Hodge DO, et al. Doppler echocardiographic index for assessment of global right ventricular function[J]. J Am Echocardiogr, 1996, 9(6): 838-847.
[15]Tei C, Dujardin KS, Hodge DO, et al. Doppler index combining systolic and diastolic myocardial performance: clinical value in cardiac amyloidosis[J]. J Am Coll Cardiol, 1996, 28(3): 658-664.
[16]Gaibazzi N, Petrucci N, Ziacchi V. Left ventricle myocardial performance index derived either by conventional method or mitral annulus tissue-Doppler: a comparison study in healthy subjects and subjects with heart failure[J]. J Am Soc Echocardiogr, 2005, 18(12): 1270-1276.
[17]Harada K, Tamura M, Toyono M, et al. Assessment of global left ventricular function by tissue Doppler imaging[J]. Am J Cardiol, 2001, 88(8): 927-932.
[18]Benson LN, Child JS, Schwaiger M, et al. Left ventricular geometry and function in adults with Ebstein’s anomaly of the tricuspid valve[J]. Circulation, 1987, 75(2): 353-359.
[19]Park K, Kim HK, Kim YJ, et al. Incremental prognostic value of early postoperative right ventricular systolic function in patients undergoing surgery for isolated severe tricuspid regurgitation[J]. Heart, 2011, 97(16): 1319-1325.
[20]梁蕾,闻志超,郭君. 实时三维超声心动图与核磁共振成像评价右心功能的对照研究[J]. 中国临床医学影像杂志,2013,24(7):469-471.