In postoperative thoracic surgery (lobe resection, pneumonectomy or wedge resection), cardiovascular complications are the most frequent (10 to 15%) with a significant morbi-mortality rate. Right ventricular (RV) dysfunction is a complication that can be multifactorial in post thoracic surgery. The RV longitudinal shortening fraction (RV-LSF) is a new 2D-STE parameters able to more accurately detect patients with RV dysfunction compared to conventional echocardiographic parameters. This project is a single-center, prospective, interventional study of patients hospitalized at the Amiens University Hospital for scheduled thoracic surgery. TTE is performed preoperatively, at day 2 and day 15 following the thoracic surgery. Echocardiographic parameters will be measured by an echocardiographic expert in offline with a dedicated software. MACE criteria will be collected at day 2, day 15 and day-30 following the thoracic surgery.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
164
the included patients have a TTE preoperatively in order to evaluate the RV systolic function. TTE will also be done at day 2 and day-15 during the follow-up surgical consultation.
CHU Amiens Picardie
Amiens, France
RECRUITINGoccurrence of a major cardiovascular event (MACE)
MACE is a composite criteria. MACES criteria is defined as the occurrence of at least one of the following events: A cardiovascular death or a documented supraventricular tachycardia (atrial fibrillation and/or flutter) of duration \> 30 seconds or, an acute myocardial infarction or, an hospitalization for a right ventricular failure or, an hospitalization for a left ventricular failure.
Time frame: day 30
Variation of RV systolic function from baseline in patients with MACE
Time frame: at day 1
Variation of RV systolic function from baseline in patients without MACE
Time frame: at day 1
Variation of RV systolic function from baseline in patients with MACE
Time frame: at day 2
Variation of RV systolic function from baseline in patients without MACE
Time frame: at day 2
Variation of RV systolic function from baseline in patients with MACE
Time frame: at day 15
Variation of RV systolic function from baseline in patients without MACE
Time frame: at day 15
Variation of RV systolic function from baseline in patients with MACE
Time frame: within day 30
Variation of RV systolic function from baseline in patients without MACE
Time frame: within day 30
Assessment of RV systolic function preoperatively
Time frame: at day 30
occurrence of a postoperative complication
Time frame: at day 30
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