Major Lung Resection, Right Ventricular Dysfunction
Conditions
Keywords
Major lung resection, Right Ventricular Dysfunction, 2D Strain
Brief summary
This study aims to describe incidence of right ventricular dysfunction after major lung resection with echocardiography criteria.
Detailed description
Few clinical trial studied the incidence of right ventricular dysfunction after major lung resection and time frame of occurrence. In this prospective observational study the right ventricular function will be mesure with echocardiographic criteria. Echocardiographic exam will be standardised and be realised day before surgery (at the same time that inclusion), day 1, day 2 and day 3 after surgery. In order to assess prognostic value of right dysfunction after lung resection, data as hospitalization stay, complications and survival will be collected at 6 months. Cardiac cycles will be recorded and be analysed by a single observer blind to the clinical finding and other echocardiographic measurements.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Written consent * Patient older than 18 years * Major lung surgery (pneumonectomy, lobectomy)
Exclusion criteria
* Pre-existing pulmonary arteria hypertension * Post-operative surgical complication on day 1 to 3 (bleeding, revision surgery) * Technical difficulty preventing adequate echocardiographic assessment * Patient refusal
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Right ventricular dysfunction | 5 days | Without pre-existing pulmonary arteria hypertension, it will be assess with echocardiography criteria : PAPS \> 35mmHg or right ventricular dilatation or right systolic markers abnormalities. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Risk factors | 5 days | Determining risk factors for developing right ventricular failure after pulmonary resection |
| Time frame to right ventricular dysfunction | 5 days | Time frame to right ventricular dysfunction |
| Assessment of 2D strain for right ventricular dysfunctio | 5 days | Assessment of 2D strain for right ventricular dysfunction |
| Estimate impact of right ventricular dysfunction on patient prognosis. | 5 days | Estimate impact of right ventricular dysfunction on patient prognosis. |
Countries
France