Journal of Perioperative Echocardiography

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VOLUME 5 , ISSUE 2 ( July-December, 2017 ) > List of Articles


Transesophageal Echocardiographic Approach to a Patient with Suspected Pulmonary Hypertension in the Intraoperative Period

M Ganesh Kumar

Citation Information : Kumar MG. Transesophageal Echocardiographic Approach to a Patient with Suspected Pulmonary Hypertension in the Intraoperative Period. J Perioper Echocardiogr 2017; 5 (2):49-63.

DOI: 10.5005/jp-journals-10034-1071

License: CC BY 3.0

Published Online: 01-07-2012

Copyright Statement:  Copyright © 2017; The Author(s).


How to cite this article

Kumar MG, Puri GD. Transesophageal Echocardiographic Approach to a Patient with Suspected Pulmonary Hypertension in the Intraoperative Period. J Perioper Echocardiogr 2017;5(2):49-63.

  1. Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Respir J 2009 Oct;34(20):1219-1263.
  2. Updated clinical classification of pulmonary hypertension. J Am Coll Cardiol 2013 Dec;62(Suppl 25):D34-D41.
  3. Definition and classification of pulmonary hypertension. Handb Exp Pharmacol 2013 Oct;218:3-29.
  4. Echocardiography in pulmonary arterial hypertension: from diagnosis to prognosis. J Am Soc Echocardiogr 2013 Jan;26(1):1-14.
  5. The role of echocardiography in the evaluation of pulmonary arterial hypertension. Echocardiography 2016 Jan;33(1):105-116.
  6. ; Mann, D.; Zipes, D.; Libby, P.; Rich, S. Pulmonary hypertension. In: Braunwald E, Bonow RO, editors. Braunwald's heart disease: a textbook of cardiovascular medicine. Philadelphia (PA): Saunders; 2012. pp. 1696-1718.
  7. Right coronary artery flow impairment in patients with pulmonary hypertension. Eur Heart J 2008 Jan;29(1):120-127.
  8. Clinical diagnosis of pulmonary hypertension. Circulation 2014 Nov;130(20):1820-1830.
  9. Predicting survival in pulmonary arterial hypertension: insights from the Registry to Evaluate Early and Long-Term Pulmonary Arterial Hypertension Disease Management (REVEAL). Circulation 2010 Jul;122(2):164-172.
  10. Hyperuricemia in severe pulmonary hypertension. Chest 2000 Jan;117(1):19-24.
  11. Electrocardiography to define clinical status in primary pulmonary hypertension and pulmonary arterial hypertension secondary to collagen vascular disease. Chest 2002 Aug;122(2):524-527.
  12. Ventricular interdependence: significant left ventricular contributions to right ventricular systolic function. Prog Cardiovasc Dis 1998 Jan-Feb;40(4):289-308.
  13. Echocardiographic assessment of pulmonary hypertension: standard operating procedure. London: Imperial College Healthcare NHS Trust; 2010.
  14. Guidelines for the echocardiographic assessment of the right heart in adults: A report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr 2010 Jul;23(7):685-713.
  15. More on the noninvasive diagnosis of pulmonary hypertension: Doppler echocardiography revisited. Eur Respir J 1995 Sep;8(9):1445-1449.
  16. Transthoracic echocardiography in the evaluation of pediatric pulmonary hypertension and ventricular dysfunction. Pulm Circ 2016 Mar;6(1):15-29.
  17. New formula for predicting mean pulmonary artery pressure using systolic pulmonary artery pressure. Chest 2004 Oct;126(4):1313-1317.
  18. Clinical correlates and reference intervals for pulmonary artery systolic pressure among echocardiographically normal subjects. Circulation 2001 Dec;104(23):2797-2802.
  19. Imaging in pulmonary hypertension: focus on the role of echocardiography. Arch Cardiovasc Dis 2014 Apr;107(4):261-271.
  20. Noninvasive evaluation of right atrial pressure. J Am Soc Echocardiogr 2013 Sep;26(9):1033-1042.
  21. Echocardiographic determination of mean pulmonary artery pressure. Am J Cardiol 2003 Dec;92(11):1373-1376.
  22. Evaluation of pulmonary artery pressure and resistance by pulsed Doppler echocardiography. Am J Cardiol 1987 Mar;59(6):662-668.
  23. Noninvasive evaluation of pulmonary hypertension by a pulsed Doppler technique. Circulation 1983 Aug;68(2):302-309.
  24. Pulmonary artery acceleration time provides a reliable estimate of invasive pulmonary hemodynamics in children. J Am Soc Echocardiogr 2016 Nov;29(11):1056-1065.
  25. Different time course of changes in tricuspid regurgitant pressure gradient and pulmonary artery flow acceleration after pulmonary thromboendarterectomy: implications for discordant recovery of pulmonary artery pressure and compliance. Circ J 2007 Nov;71(11):1771-1775.
  26. Echocardiography of pulmonary vascular function in asymptomatic carriers of BMPR2 mutations. Eur Respir J 2012 Nov;40(5):1287-1289.
  27. Echocardiographic assessment of pulmonary hypertension in patients with advanced lung disease. Am J Respir Crit Care Med 2003 Mar;167(5):735-740.
  28. Use of echocardiographic pulmonary acceleration time and estimated vascular resistance for the evaluation of possible pulmonary hypertension. Cardiovasc Ultrasound 2013 Feb;11:7.
  29. An alternative echocardiographic method to estimate mean pulmonary artery pressure: diagnostic and clinical implications. J Am Soc Echocardiogr 2009 Jul;22(7):814-819.
  30. Noninvasive assessment of pulmonary vascular resistance by Doppler echocardiography. J Am Soc Echocardiogr 2013 Oct;26(10):1170-1177.
  31. Noninvasive estimation of pulmonary vascular resistance by Doppler echocardiography in patients with pulmonary arterial hypertension. Am J Cardiol 2009 Mar;103(6):872-876.
  32. Quantitative assessment of pulmonary vascular resistance and reactivity in children with pulmonary hypertension due to congenital heart disease using a noninvasive method: new Doppler derived indexes. Pediatr Cardiol 2009 Apr;30(3):232-239.
  33. Prognostic value of echocardiographic changes in patients with pulmonary arterial hypertension receiving parenteral prostacyclin therapy. J Am Soc Echocardiogr 2014 Jul;27(7):733.e2-741.e2.
  34. Extension of Doppler-derived echocardiographic measures of pulmonary vascular resistance to patients with moderate or severe pulmonary vascular disease. J Am Soc Echocardiogr 2008 Jun;21(6):711-714.
  35. Non-invasive estimation of pulmonary vascular resistance in patients of pulmonary hypertension in congenital heart disease with unobstructed pulmonary flow. Ann Pediatr Cardiol 2014 May;7(2):92-97.
  36. Pulmonary artery acceleration time in identifying pulmonary hypertension patients with raised pulmonary vascular resistance. Eur Heart J Cardiovasc Imaging 2013 Sep;14(9):890-897.
  37. A simple echocardiographic prediction rule for hemodynamics in pulmonary hypertension. Circ Cardiovasc Imaging 2012 Nov;5(6):765-775.
  38. Doppler tissue imaging: a noninvasive technique for evaluation of left ventricular relaxation and estimation of filling pressures. J Am Coll Cardiol 1997 Nov;30(6):1527-1533.
  39. The right ventricle incardiac surgery, a perioperative perspective: I. Anatomy, physiology, and assessment. Anesth Analg 2009 Feb;108(2):407-421.
  40. Right heart and pulmonary vessels structure and function. Echocardiography 2015 Jan;32(Suppl 1):S3-S10.
  41. The fifth world symposium on pulmonary hypertension. J Am Coll Cardiol 2013 Dec;62(Suppl 25):D1-D3.
  42. Assessment of right ventricular function in pulmonary hypertension. Curr Hypertens Rep 2015 May;17(5):35.
  43. Right heart adaptation to pulmonary arterial hypertension: physiology and pathobiology. J Am Coll Cardiol 2013 Dec;62(25 Suppl):D22-D33.
  44. Principles and practices of echocardiography Philadelphia (PA): Lea & Febiger; 1994. pp. 914-915.
  45. Textbook of clinical echocardiography. Philadelphia (PA): WB Saunders; 2000. pp. 120-122.
  46. Echocardiographic assessment of the right ventricle and associated hemodynamics. Prog Cardiovasc Dis 2012 Sep-Oct;55(2):144-160.
  47. Tricuspid annular displacement predicts survival in pulmonary hypertension. Am J Respir Crit Care Med 2006 Nov;174(9):1034-1041.
  48. Systolic right ventricular function in preterm and term neonates: reference values of the tricuspid annular plane systolic excursion (TAPSE) in 258 patients and calculation of Z-score values. Neonatology 2011 Jan;100(1):85-92.
  49. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 2015 Jan;28(1):1.e14-39.e14.
  50. New echocardiographic prognostic factors for mortality in pulmonary arterial hypertension. Eur Heart J Cardiovasc Imaging 2010 Jul;11(6):516-522.
  51. Speckle-tracking echocardiography: a new technique for assessing myocardial function. J Ultrasound Med 2011 Jan;30(1):71-83.
  52. Right atrial size and function in patients with pulmonary hypertension associated with disorders of respiratory system or hypoxemia. Eur Heart J Cardiovasc Imaging 2007 Oct;8(5):322-331.
  53. Diagnostic value of echocardiography in the diagnosis of pulmonary hypertension. PLoS One 2012 Jun;7(6):e38519.
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