Early Right Heart Chambers Reverse Remodeling in Patients Operated in Adulthood for Congenital Lesions Associated with Right Heart Chambers Enlargement

• DOI: 10.1177/21501351211040474
• Publication Date: 2021-11-30T22:33:02Z
• Authors: Elena Panaioli; Francesca Graziani; Rosa Lillo; Angelica Bibiana ...; Maria Grandinetti; Arianna Di Molfetta; Gianluigi Perri; Annalisa Pasquini; Christian Colizzi; Antonella Lombardo; Gabriella Locorot...; Antonio Amodeo; Aurelio Secinaro; Piergiorgio Bruno; Gaetano Antonio L...; Massimo Massetti
• Keywords: Right heart; Heart defect; Ventricular remodeling

Progressive right heart chambers dilatation is frequent in the adult congenital disease (ACHD) population. We evaluated immediate and mid-term response of to surgery performed adulthood for lesions associated with enlargement.Thirty-six patients enlargement submitted were studied. collected echocardiographic data ventricle (RV) mid-diameter, atrial volume indexed, RV systolic pressure, tricuspid annular plane excursion (TAPSE) prior (T0), at 2 5 days (T1), 3 6 months (T2) after surgery.At T1, we observed a significant decrease mid-diameter (47.2 ± 8.4 vs. 39.6 7.4 mm, P < .001), indexed (45.6 26.6 27.2 11 ml/m2, pressure (39 14.8 32.8 11.3 mm Hg, = .03). At T2, further deviation rate diameter (39.6 34.5 5.1 (32.8 25.3 .03) TAPSE (13.9 3.2 15.8 2.6 .001) was observed.Positive remodeling occurs as early post-operative period most ACHD operated enlargement.