2. Right heart dysfunction in severe lung disease. Dr. Andy Roscoe
Channel: TGH Advanced Perioperative Imaging Lab
Date: 02/12/2022

Objectives
1. Explain the manifestations of RV adaptation to lung pathophysiology
2. Describe a goal-oriented approach for TEE assessment of RV function in the setting of lung disease

References
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2. Denault AY, Haddad F, Jacobsohn E, Deschamps A. Perioperative right ventricular dysfunction. Curr Opin Anaesthesiol. 2013 Feb;26(1):71–81. https://pubmed.ncbi.nlm.nih.gov/23235519/
3. Badano LP, Addetia K, Pontone G, Torlasco C, Lang RM, Parati G, et al. Advanced imaging of right ventricular anatomy and function. Heart. 2020 Oct;106(19):1469–76. http://heart.bmj.com/content/106/19/1469
4. Mandoli GE, De Carli G, Pastore MC, Cameli P, Contorni F, D’Alessandro M, et al. Right cardiac involvement in lung diseases: a multimodality approach from diagnosis to prognostication. J Intern Med. 2021 Apr;289(4):440–9. https://doi.org/10.1111/joim.13179
5. Usmani OS, Dhand R, Lavorini F, Price D. Why We Should Target Small Airways Disease in Our Management of Chronic Obstructive Pulmonary Disease. Mayo Clin Proc. 2021 Sep;96(9):2448–63. https://doi.org/10.1016/j.mayocp.2021.03.016
6. Gelzinis TA. Pulmonary Hypertension in 2021: Part I-Definition, Classification, Pathophysiology, and Presentation. J Cardiothorac Vasc Anesth. 2022 Jun;36(6):1552–64. https://doi.org/10.1053/j.jvca.2021.06.036
7. Simonneau G, Torbicki A, Dorfmüller P, Kim N. The pathophysiology of chronic thromboembolic pulmonary hypertension. Eur Respir Rev. 2017 Mar 31;26(143):160112. https://doi.org/10.1183/16000617.0112-2016
8. Schneider M, Aschauer S, Mascherbauer J, Ran H, Binder C, Lang I, et al. Echocardiographic assessment of right ventricular function: current clinical practice. Int J Cardiovasc Imaging. 2019 Jan;35(1):49–56. https://doi.org/10.1007/s10554-018-1428-8
9. Zaidi A, Knight DS, Augustine DX, Harkness A, Oxborough D, Pearce K, et al. Echocardiographic assessment of the right heart in adults: a practical guideline from the British Society of Echocardiography. Echo Res Pract. 2020 Feb 27;7(1):G19–41. https://doi.org/10.1530/erp-19-0051
10. Denault AY, Bussières JS, Arellano R, Finegan B, Gavra P, Haddad F, et al. A multicentre randomized-controlled trial of inhaled milrinone in high-risk cardiac surgical patients. Can J Anaesth. 2016 Oct;63(10):1140–53. https://doi.org/10.1007/s12630-016-0709-8

Copyright Dr. Andrew Roscoe
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