Remodeling of the right heart and vessels of the pulmonary circulation in case of surgical treatment of postembolic pulmonary hypertension

Cherniavskiĭ A.M.

Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina;
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia Rossii, Moskva

Kurbatov V.P.

Tsentr khirurgii aorty, koronarnykh i perifericheskikh arteriĭ FGBU "Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akademika E.N. Meshalkina" Minzdrava RF, Novosibirsk, Rossiia

Cherniavskiĭ M.A.

Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina;
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia Rossii, Moskva

Edemskiĭ A.G.

FGBU "NNIIPK im. akad. E.N. Meshalkina" Minzdrava Rossii;
Tsentr khirurgii aorty i koronarnykh arteriĭ;
laboratoriia funktsional'noĭ i ul'trazvukovoĭ diagnostiki, Novosibirsk

Tarkova A.R.

Efimenko V.G.

Ivanov S.N.

Remodeling of the right heart and vessels of the pulmonary circulation in case of surgical treatment of postembolic pulmonary hypertension

Authors:

Cherniavskiĭ A.M., Kurbatov V.P., Cherniavskiĭ M.A., Edemskiĭ A.G., Tarkova A.R., Efimenko V.G., Ivanov S.N.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2014;7(5): 73‑77

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To cite this article:

Cherniavskiĭ AM, Kurbatov VP, Cherniavskiĭ MA, Edemskiĭ AG, Tarkova AR, Efimenko VG, Ivanov SN. Remodeling of the right heart and vessels of the pulmonary circulation in case of surgical treatment of postembolic pulmonary hypertension. Russian Journal of Cardiology and Cardiovascular Surgery. 2014;7(5):73‑77. (In Russ.)

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)

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The study included 72 patients with chronic postembolic pulmonary hypertension who underwent pulmonary trombendarterectomy surgery. Evaluation of the results of surgical treatment was performed in 6-12 months after surgery by using of echocardiography and right heart catheterization. Volume indicators, contractility of the right ventricle, pulmonary artery pressure and resistance of pulmonary circuit vessels were assessed. Multi-spiral computed tomography of pulmonary artery was also performed. It was analyzed the changes of the pulmonary arterial bed depending on the initial pressure in the pulmonary artery. The obtained results show reverse remodeling of the right heart after pulmonary trombendarterectomy surgery. It confirms the positive impact of surgical deobliteration of pulmonary artery branches not only on clinical condition of patients and intracardiac hemodynamics, but also on the recovery of right heart and great arteries sizes. Further study of pulmonary circulation and right heart remodeling will allow not only to predict the outcomes of surgical treatment depending on the initial state of the heart and lungs, but to choose more selectively patients for pulmonary trombendarterectomy focusing not only on personal surgeon's experience but also on objective quantitative indicators.

Keywords:

chronic postembolic pulmonary hypertension

pulmonary trombendarterectomy surgery

right heart catheterization

multi-spiral computed tomography of pulmonary artery

echocardiography

Authors:

Cherniavskiĭ A.M.

Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina;
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia Rossii, Moskva

Kurbatov V.P.

Cherniavskiĭ M.A.

Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina;
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia Rossii, Moskva

Edemskiĭ A.G.

FGBU "NNIIPK im. akad. E.N. Meshalkina" Minzdrava Rossii;
Tsentr khirurgii aorty i koronarnykh arteriĭ;
laboratoriia funktsional'noĭ i ul'trazvukovoĭ diagnostiki, Novosibirsk

Tarkova A.R.

Efimenko V.G.

Ivanov S.N.

List of references:

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