Echocardiography in Evaluating the Right Ventricle in Children with Funnel Chest Surgery

Min Jie Qing; Tian Jin Run; Hong Wei; Wei Li Zheng; Cao Yan Jie; Wang Hua Ping

Article Contents

Article Navigation > Journal of Kunming Medical University > 2019 > 40(03): 116-119

Min Jie Qing , Tian Jin Run , Hong Wei , Wei Li Zheng , Cao Yan Jie , Wang Hua Ping . Echocardiography in Evaluating the Right Ventricle in Children with Funnel Chest Surgery[J]. Journal of Kunming Medical University, 2019, 40(03): 116-119.

Citation:

Min Jie Qing , Tian Jin Run , Hong Wei , Wei Li Zheng , Cao Yan Jie , Wang Hua Ping . Echocardiography in Evaluating the Right Ventricle in Children with Funnel Chest Surgery[J]. Journal of Kunming Medical University, 2019, 40(03): 116-119.

Citation:

PDF( 1822 KB)

Echocardiography in Evaluating the Right Ventricle in Children with Funnel Chest Surgery

Funds:

基金：昆明市西山区科技计划项目 (西科字31号);

Received Date: 2018-11-22

Abstract

Abstract

Objective To explore the application value of ultrasound technology in clinical evaluation of right ventricular systolic function in children with funnel chest through using echocardiography and two-dimensional spot tracking, haller index (HI) of tricuspid ring displacement and CT examination to follow up patients before and six months after operation. Methods From March 2017 to August 2018, we selected 48 cases of children who were diagnosed with funnel chest and operated in our hospital from March 2017 to August 2018.Echocardiography measured M type (RVD) , right ventricular size M type tricuspid ring (TAPSE) , tricuspid ring diameter (TVAD) , the application of two-dimensional speckle tracking technology measure the tricuspid valve attachment points (TMAD1) , tricuspid valve attachment points before (TMAD2) , tricuspid ring attachment midpoint displacement (TMADm) and right ventricular systolic peak longitudinal shortening fraction (TMAD %) . Chest CT measures HI. Results There were statistically significant differences in RVD, TAPSE, TVAD and HI between preoperative and postoperative six months (P < 0.001) .The indexes were increased six months after operation. There was a statistical difference in TMAD% (P < 0.05) .TMAD1, TMAD2, and TMADm increased in the six months after operation, but there was no statistical difference (P > 0.05) . Conclusions Conventional echocardiography combined with two-dimensional speckle tracking technique is a reliable method to evaluate the cardiac structure and function before and after funnel chest surgery. It can provide objective basis for the cardiac compression of funnel chest and the damage of right ventricular systolic function. It can be used in the follow-up process of children with funnel chest.
- Pectus excavatum,
- Tricuspid ring displacement,
- Speckle tracing,
- Right ventricular,
- Ultrasonic cardiogram

FullText(HTML)

References(15)

References

[1]	[1]TPPER A, OLLEICHTNER S, ZAGROSEK A, et al.Impact of surgical correction of pectus excavatum on cardiac function:insights on the right ventricle[J]. A cardiovascular magnetic resonance study. Interact Cardio Vasc Thorac Surg, 2016, 22 (1) :38-46.
[2]	[2]CHAO C J, JAROSZEWSKI D E, KUMAR P N, et al.Surgical repair of pectus excavatum relieves right heart chamber compression and improves cardiac output in adult patients an intraoperative transesophageal echocardiograp hic study[J]. Am J Surg, 2015, 210 (6) :1118-1125.
[3]	[3]SIGALET D L, MONTGOMERY M, HARDER J, et al.Long term cardiopulmonary effects of closed repair of pectus excavatum[J]. Pediatr Surg Int, 2007, 23 (5) :493-497.
[4]宁金波, 谢义民, 陈强.比较不同手术方式治疗小儿漏斗胸的临床疗效[J].临床小儿外科杂志, 2017, 16 (3) :262-265.
[5]吴茂军, 宋波, 侯龙龙, 等.改良NUSS手术矫治先心病手术后继发性漏斗胸的初步经验[J].临床小儿外科杂志, 2017, 16 (3) :259-261.
[6]徐波, 刘吉福, 戈明媚, 等.漏斗胸术前心脏磁共振成像评估心脏结构和功能的临床价值[J].中国胸心血管外科临床杂志, 2015, 22 (9) :862-865.
[7]	[7]TAMBORINI G, PEPI M, GALLI CA, et al.Feasibility and accuracy of aroutine echocardiographic assessment of right ventricular function[J].Int J Cardiol, 2007, 115 (1) :86-89.
[8]王建华, 刘昕.斑点追踪技术测量三尖瓣环位移评价右心室收缩功能的临床研究[J].中华超声影像学杂志, 2009, 18 (12) :1018-1021.
[9]	[9]KJAERGAARD J, PETERSEN C L, KJAER A, et al.Evaluation of right ventricular volume and function by 2D and 3D echocardiography compared to MRI[J].Eur J Echocardiogr, 2006, 7 (6) :430-438.
[10]薛超, 何怡华, 韩杰, 等, 超声二维斑点追踪技术与术中右心漂浮导管观察右心室收缩功能的对照研究[J].心肺血管病杂志, 2015, 34 (1) :46-48.
[11]闵杰青, 洪伟, 何文姬, 等.运用斑点追踪技术测量三尖瓣环位移评价漏斗胸患儿右心室收缩功能的价值[J].昆明医科大学学报, 2018, 39 (7) :111-113.
[12]	[12]NARAYAN R L, VAISHNAVA P, CASTELLANO J M, et al. Quantitative assessment of right ventricular function in pectus excavatum[J]. J Thorac Cardiovasc Surg, 2012, 143 (5) :e41-e42.
[13]徐龙春, 赵雷.螺旋CT在先天性漏斗胸中的应用价值[J].放射学实践2011, 26 (11) :1173-1175.
[14]孙记航, 曾骐, 李静雅, 等.利用CT及心脏超声评价漏斗胸患儿术后心脏受压改善程度的可行性[J].中国医学影像技术, 2016, 32 (8) :1222-1225.
[15]	[15]TANDON A, WALLIHAN D, LUBET AM, et al. The effect of right ventricular compression on cardiac function in pediatric pectus excavatum[J]. J Cardiovasc Magn Reson, 2014, 16 (Suppl. 1) :250-251.

Relative Articles(20)

Relative Articles

[1]	Xuemei CHEN, Pin GUO, Liufang CHUAN, Zi WANG, Xuejiao LI, Wenji HE. Evaluation of Cardiac Toxicity of Anthracyclines in Children with Acute Leukemia Based on Tei Index. Journal of Kunming Medical University, 2024, 45(2): 117-122. doi: 10.12259/j.issn.2095-610X.S20240216
[2]	Shuishui PAN, Jinsong BAI, Chongxi LI, Zhiqiong AI, Bo TIAN, Changlei MU, Yihan LIU, Jun LIU. Influencing Factors of Echocardiographic Abnormalities in HIV/AIDS Patients. Journal of Kunming Medical University, 2023, 44(4): 148-153. doi: 10.12259/j.issn.2095-610X.S20230422
[3]	Wenjuan SONG, Xuejuan MA, Yue SUN, Ying GU, Yujia YE, Shumo LI, Fei GE, Liping LIU, Yue ZHAO, Yu WANG. Evaluation of Cardiotoxicity in Trastuzumab Treatment of Breast Cancer Using Three-dimensional Speckle Tracking Echocardiography. Journal of Kunming Medical University, 2023, 44(2): 108-112. doi: 10.12259/j.issn.2095-610X.S20230217
[4]	Jieqing MIN, Jinrun TIAN, Jiwei LI, lizheng WEI, Peng WANG, Yanjie CAO, Wenji HE, Mao FAN, Qian ZHANG, Yunjuan YANG. Two-dimensional Speckle Tracking Technology in the Study of Acute Myocardial Injury Caused by Anthracyclines. Journal of Kunming Medical University, 2022, 43(2): 34-38. doi: 10.12259/j.issn.2095-610X.S20220211
[5]	Linkun TA, Yanling HUANG, Jingqiu ZhANG, Yongping LU. Value of Different Sections of Echocardiography in the Diagnosis of Fetal Congenital Vascular Ring. Journal of Kunming Medical University, 2022, 43(6): 79-84. doi: 10.12259/j.issn.2095-610X.S20220615
[6]	Juan ZHAO, Teng-can TU, Mei-jun YANG, Xiao-yong ZHANG, Wei PAN. Assessment of Early Coronary Artery Disease in Patients with Acute Coronary Syndrome. Journal of Kunming Medical University, 2021, 42(12): 47-50. doi: 10.12259/j.issn.2095-610X.S20211219
[7]	Li-zheng WEI, Jie-qing MIN, Jin-run TIAN, Yan-jie CAO, Peng PAN, Peng WANG, Yun-juan YANG, Yun-jiao LUO. The Characteristics of Echocardiography in Acute Incomplete Kawasaki Disease among Infants and Young Children in Yunnan Province. Journal of Kunming Medical University, 2021, 42(9): 114-118. doi: 10.12259/j.issn.2095-610X.S20210923
[8]	Lin-kun TA, Yan-ling HUANG, Yong-ping LU. The Value of Echocardiography in Diagnosing Fetal Tetralogy of Fallot. Journal of Kunming Medical University, 2021, 42(1): 142-146. doi: 10.12259/j.issn.2095-610X.S20210126
[9]	Chen Zhi Song , He Biao Hua , Zeng Yong Li , Yu Zhuo . Clinical Application of Transcatheter Closure in Patent Ductus Arteriosus under the Guidance of Transthoracic Echocardiography. Journal of Kunming Medical University, 2019, 40(03): 68-72.
[10]	Min Jie Qing , Hong Wei , He Wen Ji , Wei Li Zheng , Yang Yun Juan . Evaluation of Tricuspid Annulus Displacement Measured by Speckle Tracking on Right Ventricular Systolic Function in Children with Pectus Excavatum. Journal of Kunming Medical University, 2018, 39(07): 111-113.
[11]	Ye Xue Qun , Nie Lei . . Journal of Kunming Medical University, 2017, 38(02): 95-98.
[12]	Luo Qing 祎. . Journal of Kunming Medical University,
[13]	Long Qiong Hua . . Journal of Kunming Medical University,
[14]	Min Jie Qing . . Journal of Kunming Medical University,
[15]	Song Wen Juan . . Journal of Kunming Medical University,
[16]	Zhang Yu . . Journal of Kunming Medical University,
[17]	Wang Qing Hui . . Journal of Kunming Medical University,
[18]	He Guang Lin . . Journal of Kunming Medical University,
[19]	. The Assessment of Left Ventricular Longitudinal Systolic Function in Patients with Type 2 Diabetes Mellitus by Ultrasound 2-dimensional Strain. Journal of Kunming Medical University,
[20]	Li Hua Ping . . Journal of Kunming Medical University,