Evaluation of myocardial work changes after lung resection—the significance of surgical approach: an echocardiographic comparison between VATS and thoracotomy
Objective Considering the controversial benefits of video-assisted thoracoscopic surgery (VATS), we intended to evaluate the impact of surgical approach on cardiac function after lung resection using myocardial work analysis. Methods Echocardiographic data of 48 patients (25 thoracotomy vs. 23 VATS)...
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| Veröffentlicht in: | General thoracic and cardiovascular surgery 2024-08, Vol.72 (8), p.542-550 |
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| creator | Kolashov, Alish Lotfi, Shahram Spillner, Jan Shoaib, Mohamed Almaghrabi, Saif Hatam, Nima Haneya, Assad Zayat, Rashad Khattab, Mohammad Amen |
| description | Objective
Considering the controversial benefits of video-assisted thoracoscopic surgery (VATS), we intended to evaluate the impact of surgical approach on cardiac function after lung resection using myocardial work analysis.
Methods
Echocardiographic data of 48 patients (25 thoracotomy vs. 23 VATS) were retrospectively analyzed. All patients underwent transthoracic echocardiography (TTE) within 2 weeks before and after surgery, including two-dimensional speckle tracking and tissue Doppler imaging.
Results
No notable changes in left ventricular (LV) function, assessed mainly using the LV global longitudinal strain (GLS), global myocardial work index (GMWI), and global work efficiency (GWE), were observed. Right ventricular (RV) TTE values, including tricuspid annular plane systolic excursion (TAPSE), tricuspid annular systolic velocity (TASV), right ventricular global longitudinal strain (RVGLS), and RV free-wall GLS (RVFWGLS), indicated greater RV function impairment in the thoracotomy group than in the VATS group [TAPSE(mm) 17.90 ± 3.80 vs. 21.00 ± 3.48,
p
= 0.006; d = 0.84; TASV(cm/s): 12.40 ± 2.90 vs. 14.70 ± 2.40,
p
= 0.004,
d
= 0.86; RVGLS(%): − 16.00 ± 4.50 vs. − 19.40 ± 2.30,
p
= 0.012,
d
= 0.20; RVFWGLS(%): − 11.50 ± 8.50 vs. − 18.31 ± 5.40,
p
= 0.009,
d
= 0.59; respectively].
Conclusions
Unlike RV function, LV function remained preserved after lung resection. The thoracotomy group exhibited greater RV function impairment than did the VATS group. Further studies should evaluate the long-term impact of surgical approach on cardiac function. |
| doi_str_mv | 10.1007/s11748-023-02005-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2917860232</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3084976592</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-5505addfa055bf6fd6bf5fd8d767c2846ac8fbc52c80bfce291925f5e583e8c83</originalsourceid><addsrcrecordid>eNp9kctu1TAQhiMEoqXwAiyQJTZsAk58fAm7qioXqRILCltrMhknKUkc7KTV2fEQPADPxpPgQ0qRWLCwbMvffDPyn2VPC_6y4Fy_ikWhdybnpUiLc5nre9lxYZTIlS7E_bszl0fZoxivEqJMIR9mR8KUUlR6d5z9OL-GYYWl9xPzjo17jxCaHgZ248MXhh1MLUUGbqHAhnVqWaBIeOB_fvu-dMRi30696xEmpIMirqFNt4HBPAcP2L1mMDHCbjP7NsDc9cjQjzOEPqbGNS03RBP7fHr5McENWzofAP3ix_3j7IGDIdKT2_0k-_Tm_PLsXX7x4e37s9OLHEWpllxKLqFpHHApa6dco2onXWMarTSWZqcAjatRlmh47ZDKqqhK6SRJI8igESfZi82bhv66Ulzs2EekYYCJ_BptKtBGpb8uE_r8H_TKr2FK01nBza7SSlYHqtwoDD7GQM7OoR8h7G3B7SE_u-Vnk9P-zs_qVPTsVr3WIzV3JX8CS4DYgJieUjThb-__aH8BsparAQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3084976592</pqid></control><display><type>article</type><title>Evaluation of myocardial work changes after lung resection—the significance of surgical approach: an echocardiographic comparison between VATS and thoracotomy</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Kolashov, Alish ; Lotfi, Shahram ; Spillner, Jan ; Shoaib, Mohamed ; Almaghrabi, Saif ; Hatam, Nima ; Haneya, Assad ; Zayat, Rashad ; Khattab, Mohammad Amen</creator><creatorcontrib>Kolashov, Alish ; Lotfi, Shahram ; Spillner, Jan ; Shoaib, Mohamed ; Almaghrabi, Saif ; Hatam, Nima ; Haneya, Assad ; Zayat, Rashad ; Khattab, Mohammad Amen</creatorcontrib><description>Objective
Considering the controversial benefits of video-assisted thoracoscopic surgery (VATS), we intended to evaluate the impact of surgical approach on cardiac function after lung resection using myocardial work analysis.
Methods
Echocardiographic data of 48 patients (25 thoracotomy vs. 23 VATS) were retrospectively analyzed. All patients underwent transthoracic echocardiography (TTE) within 2 weeks before and after surgery, including two-dimensional speckle tracking and tissue Doppler imaging.
Results
No notable changes in left ventricular (LV) function, assessed mainly using the LV global longitudinal strain (GLS), global myocardial work index (GMWI), and global work efficiency (GWE), were observed. Right ventricular (RV) TTE values, including tricuspid annular plane systolic excursion (TAPSE), tricuspid annular systolic velocity (TASV), right ventricular global longitudinal strain (RVGLS), and RV free-wall GLS (RVFWGLS), indicated greater RV function impairment in the thoracotomy group than in the VATS group [TAPSE(mm) 17.90 ± 3.80 vs. 21.00 ± 3.48,
p
= 0.006; d = 0.84; TASV(cm/s): 12.40 ± 2.90 vs. 14.70 ± 2.40,
p
= 0.004,
d
= 0.86; RVGLS(%): − 16.00 ± 4.50 vs. − 19.40 ± 2.30,
p
= 0.012,
d
= 0.20; RVFWGLS(%): − 11.50 ± 8.50 vs. − 18.31 ± 5.40,
p
= 0.009,
d
= 0.59; respectively].
Conclusions
Unlike RV function, LV function remained preserved after lung resection. The thoracotomy group exhibited greater RV function impairment than did the VATS group. Further studies should evaluate the long-term impact of surgical approach on cardiac function.</description><identifier>ISSN: 1863-6705</identifier><identifier>ISSN: 1863-6713</identifier><identifier>EISSN: 1863-6713</identifier><identifier>DOI: 10.1007/s11748-023-02005-7</identifier><identifier>PMID: 38253974</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Aged ; Body mass index ; Cancer therapies ; Cardiac Surgery ; Cardiology ; Chronic obstructive pulmonary disease ; Creatinine ; Dehydrogenases ; Diabetes ; Echocardiography ; Echocardiography, Doppler ; Female ; Hemoglobin ; Humans ; Hypertension ; Lung cancer ; Lung diseases ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Ostomy ; Pain ; Patients ; Pneumonectomy - adverse effects ; Predictive Value of Tests ; Retrospective Studies ; Software ; Surgical Oncology ; Thoracic Surgery ; Thoracic Surgery, Video-Assisted - adverse effects ; Thoracotomy - adverse effects ; Treatment Outcome ; Ultrasonic imaging ; Ventricular Function, Left - physiology ; Ventricular Function, Right</subject><ispartof>General thoracic and cardiovascular surgery, 2024-08, Vol.72 (8), p.542-550</ispartof><rights>The Author(s), under exclusive licence to The Japanese Association for Thoracic Surgery 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to The Japanese Association for Thoracic Surgery.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-5505addfa055bf6fd6bf5fd8d767c2846ac8fbc52c80bfce291925f5e583e8c83</cites><orcidid>0000-0003-2243-8743</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11748-023-02005-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11748-023-02005-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38253974$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kolashov, Alish</creatorcontrib><creatorcontrib>Lotfi, Shahram</creatorcontrib><creatorcontrib>Spillner, Jan</creatorcontrib><creatorcontrib>Shoaib, Mohamed</creatorcontrib><creatorcontrib>Almaghrabi, Saif</creatorcontrib><creatorcontrib>Hatam, Nima</creatorcontrib><creatorcontrib>Haneya, Assad</creatorcontrib><creatorcontrib>Zayat, Rashad</creatorcontrib><creatorcontrib>Khattab, Mohammad Amen</creatorcontrib><title>Evaluation of myocardial work changes after lung resection—the significance of surgical approach: an echocardiographic comparison between VATS and thoracotomy</title><title>General thoracic and cardiovascular surgery</title><addtitle>Gen Thorac Cardiovasc Surg</addtitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><description>Objective
Considering the controversial benefits of video-assisted thoracoscopic surgery (VATS), we intended to evaluate the impact of surgical approach on cardiac function after lung resection using myocardial work analysis.
Methods
Echocardiographic data of 48 patients (25 thoracotomy vs. 23 VATS) were retrospectively analyzed. All patients underwent transthoracic echocardiography (TTE) within 2 weeks before and after surgery, including two-dimensional speckle tracking and tissue Doppler imaging.
Results
No notable changes in left ventricular (LV) function, assessed mainly using the LV global longitudinal strain (GLS), global myocardial work index (GMWI), and global work efficiency (GWE), were observed. Right ventricular (RV) TTE values, including tricuspid annular plane systolic excursion (TAPSE), tricuspid annular systolic velocity (TASV), right ventricular global longitudinal strain (RVGLS), and RV free-wall GLS (RVFWGLS), indicated greater RV function impairment in the thoracotomy group than in the VATS group [TAPSE(mm) 17.90 ± 3.80 vs. 21.00 ± 3.48,
p
= 0.006; d = 0.84; TASV(cm/s): 12.40 ± 2.90 vs. 14.70 ± 2.40,
p
= 0.004,
d
= 0.86; RVGLS(%): − 16.00 ± 4.50 vs. − 19.40 ± 2.30,
p
= 0.012,
d
= 0.20; RVFWGLS(%): − 11.50 ± 8.50 vs. − 18.31 ± 5.40,
p
= 0.009,
d
= 0.59; respectively].
Conclusions
Unlike RV function, LV function remained preserved after lung resection. The thoracotomy group exhibited greater RV function impairment than did the VATS group. Further studies should evaluate the long-term impact of surgical approach on cardiac function.</description><subject>Aged</subject><subject>Body mass index</subject><subject>Cancer therapies</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Creatinine</subject><subject>Dehydrogenases</subject><subject>Diabetes</subject><subject>Echocardiography</subject><subject>Echocardiography, Doppler</subject><subject>Female</subject><subject>Hemoglobin</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Lung cancer</subject><subject>Lung diseases</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Ostomy</subject><subject>Pain</subject><subject>Patients</subject><subject>Pneumonectomy - adverse effects</subject><subject>Predictive Value of Tests</subject><subject>Retrospective Studies</subject><subject>Software</subject><subject>Surgical Oncology</subject><subject>Thoracic Surgery</subject><subject>Thoracic Surgery, Video-Assisted - adverse effects</subject><subject>Thoracotomy - adverse effects</subject><subject>Treatment Outcome</subject><subject>Ultrasonic imaging</subject><subject>Ventricular Function, Left - physiology</subject><subject>Ventricular Function, Right</subject><issn>1863-6705</issn><issn>1863-6713</issn><issn>1863-6713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu1TAQhiMEoqXwAiyQJTZsAk58fAm7qioXqRILCltrMhknKUkc7KTV2fEQPADPxpPgQ0qRWLCwbMvffDPyn2VPC_6y4Fy_ikWhdybnpUiLc5nre9lxYZTIlS7E_bszl0fZoxivEqJMIR9mR8KUUlR6d5z9OL-GYYWl9xPzjo17jxCaHgZ248MXhh1MLUUGbqHAhnVqWaBIeOB_fvu-dMRi30696xEmpIMirqFNt4HBPAcP2L1mMDHCbjP7NsDc9cjQjzOEPqbGNS03RBP7fHr5McENWzofAP3ix_3j7IGDIdKT2_0k-_Tm_PLsXX7x4e37s9OLHEWpllxKLqFpHHApa6dco2onXWMarTSWZqcAjatRlmh47ZDKqqhK6SRJI8igESfZi82bhv66Ulzs2EekYYCJ_BptKtBGpb8uE_r8H_TKr2FK01nBza7SSlYHqtwoDD7GQM7OoR8h7G3B7SE_u-Vnk9P-zs_qVPTsVr3WIzV3JX8CS4DYgJieUjThb-__aH8BsparAQ</recordid><startdate>20240801</startdate><enddate>20240801</enddate><creator>Kolashov, Alish</creator><creator>Lotfi, Shahram</creator><creator>Spillner, Jan</creator><creator>Shoaib, Mohamed</creator><creator>Almaghrabi, Saif</creator><creator>Hatam, Nima</creator><creator>Haneya, Assad</creator><creator>Zayat, Rashad</creator><creator>Khattab, Mohammad Amen</creator><general>Springer Nature Singapore</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2243-8743</orcidid></search><sort><creationdate>20240801</creationdate><title>Evaluation of myocardial work changes after lung resection—the significance of surgical approach: an echocardiographic comparison between VATS and thoracotomy</title><author>Kolashov, Alish ; Lotfi, Shahram ; Spillner, Jan ; Shoaib, Mohamed ; Almaghrabi, Saif ; Hatam, Nima ; Haneya, Assad ; Zayat, Rashad ; Khattab, Mohammad Amen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-5505addfa055bf6fd6bf5fd8d767c2846ac8fbc52c80bfce291925f5e583e8c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Body mass index</topic><topic>Cancer therapies</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Creatinine</topic><topic>Dehydrogenases</topic><topic>Diabetes</topic><topic>Echocardiography</topic><topic>Echocardiography, Doppler</topic><topic>Female</topic><topic>Hemoglobin</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Lung cancer</topic><topic>Lung diseases</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Ostomy</topic><topic>Pain</topic><topic>Patients</topic><topic>Pneumonectomy - adverse effects</topic><topic>Predictive Value of Tests</topic><topic>Retrospective Studies</topic><topic>Software</topic><topic>Surgical Oncology</topic><topic>Thoracic Surgery</topic><topic>Thoracic Surgery, Video-Assisted - adverse effects</topic><topic>Thoracotomy - adverse effects</topic><topic>Treatment Outcome</topic><topic>Ultrasonic imaging</topic><topic>Ventricular Function, Left - physiology</topic><topic>Ventricular Function, Right</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kolashov, Alish</creatorcontrib><creatorcontrib>Lotfi, Shahram</creatorcontrib><creatorcontrib>Spillner, Jan</creatorcontrib><creatorcontrib>Shoaib, Mohamed</creatorcontrib><creatorcontrib>Almaghrabi, Saif</creatorcontrib><creatorcontrib>Hatam, Nima</creatorcontrib><creatorcontrib>Haneya, Assad</creatorcontrib><creatorcontrib>Zayat, Rashad</creatorcontrib><creatorcontrib>Khattab, Mohammad Amen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>General thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kolashov, Alish</au><au>Lotfi, Shahram</au><au>Spillner, Jan</au><au>Shoaib, Mohamed</au><au>Almaghrabi, Saif</au><au>Hatam, Nima</au><au>Haneya, Assad</au><au>Zayat, Rashad</au><au>Khattab, Mohammad Amen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of myocardial work changes after lung resection—the significance of surgical approach: an echocardiographic comparison between VATS and thoracotomy</atitle><jtitle>General thoracic and cardiovascular surgery</jtitle><stitle>Gen Thorac Cardiovasc Surg</stitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><date>2024-08-01</date><risdate>2024</risdate><volume>72</volume><issue>8</issue><spage>542</spage><epage>550</epage><pages>542-550</pages><issn>1863-6705</issn><issn>1863-6713</issn><eissn>1863-6713</eissn><abstract>Objective
Considering the controversial benefits of video-assisted thoracoscopic surgery (VATS), we intended to evaluate the impact of surgical approach on cardiac function after lung resection using myocardial work analysis.
Methods
Echocardiographic data of 48 patients (25 thoracotomy vs. 23 VATS) were retrospectively analyzed. All patients underwent transthoracic echocardiography (TTE) within 2 weeks before and after surgery, including two-dimensional speckle tracking and tissue Doppler imaging.
Results
No notable changes in left ventricular (LV) function, assessed mainly using the LV global longitudinal strain (GLS), global myocardial work index (GMWI), and global work efficiency (GWE), were observed. Right ventricular (RV) TTE values, including tricuspid annular plane systolic excursion (TAPSE), tricuspid annular systolic velocity (TASV), right ventricular global longitudinal strain (RVGLS), and RV free-wall GLS (RVFWGLS), indicated greater RV function impairment in the thoracotomy group than in the VATS group [TAPSE(mm) 17.90 ± 3.80 vs. 21.00 ± 3.48,
p
= 0.006; d = 0.84; TASV(cm/s): 12.40 ± 2.90 vs. 14.70 ± 2.40,
p
= 0.004,
d
= 0.86; RVGLS(%): − 16.00 ± 4.50 vs. − 19.40 ± 2.30,
p
= 0.012,
d
= 0.20; RVFWGLS(%): − 11.50 ± 8.50 vs. − 18.31 ± 5.40,
p
= 0.009,
d
= 0.59; respectively].
Conclusions
Unlike RV function, LV function remained preserved after lung resection. The thoracotomy group exhibited greater RV function impairment than did the VATS group. Further studies should evaluate the long-term impact of surgical approach on cardiac function.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><pmid>38253974</pmid><doi>10.1007/s11748-023-02005-7</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-2243-8743</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | General thoracic and cardiovascular surgery, 2024-08, Vol.72 (8), p.542-550 |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Aged Body mass index Cancer therapies Cardiac Surgery Cardiology Chronic obstructive pulmonary disease Creatinine Dehydrogenases Diabetes Echocardiography Echocardiography, Doppler Female Hemoglobin Humans Hypertension Lung cancer Lung diseases Male Medicine Medicine & Public Health Middle Aged Original Article Ostomy Pain Patients Pneumonectomy - adverse effects Predictive Value of Tests Retrospective Studies Software Surgical Oncology Thoracic Surgery Thoracic Surgery, Video-Assisted - adverse effects Thoracotomy - adverse effects Treatment Outcome Ultrasonic imaging Ventricular Function, Left - physiology Ventricular Function, Right |
| title | Evaluation of myocardial work changes after lung resection—the significance of surgical approach: an echocardiographic comparison between VATS and thoracotomy |
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