↓ Skip to main content

The impact of pericardial approach and myocardial protection onto postoperative right ventricle function reduction

Overview of attention for article published in Journal of Cardiothoracic Surgery, June 2018
Altmetric Badge

About this Attention Score

  • Average Attention Score compared to outputs of the same age
  • High Attention Score compared to outputs of the same age and source (88th percentile)

Mentioned by

twitter
3 X users

Citations

dimensions_citation
31 Dimensions

Readers on

mendeley
29 Mendeley
You are seeing a free-to-access but limited selection of the activity Altmetric has collected about this research output. Click here to find out more.
Title
The impact of pericardial approach and myocardial protection onto postoperative right ventricle function reduction
Published in
Journal of Cardiothoracic Surgery, June 2018
DOI 10.1186/s13019-018-0726-5
Pubmed ID
Authors

Marco Zanobini, Claudia Loardi, Paolo Poggio, Gloria Tamborini, Fabrizio Veglia, Alessandro Di Minno, Veronika Myasoedova, Liborio Francesco Mammana, Raoul Biondi, Mauro Pepi, Francesco Alamanni, Matteo Saccocci

Abstract

The reduction of RV function after cardiac surgery is a well-known phenomenon. It could persist up-to one year after the operation and often leads to an incomplete recovery at follow-up echocardiographic control. The aim of the present study is to analyze the impact of different modalities of pericardial incision (lateral versus anterior) and of myocardial protection protocols (Buckberg versus Custodiol) onto postoperative RV dynamic by relating two- and three-dimensional echocardiographic parameters in patients undergoing mitral valve repair through minimally invasive or traditional surgery approach. We have analyzed 44 consecutive patients with severe degenerative mitral regurgitation who underwent mitral reparation with different surgical approach and cardioplegia type: Group 1 (17 pts): sternotomy with Buckberg cardioplegia protocol; Group 2 (10 pts): sternotomy with Custodiol cardioplegia; Group 3 (17 pts): mini-invasive surgery with Custodiol cardioplegia. Two-dimensional transthoracic echocardiography was performed pre- and 6 months post-surgery to evaluate RV function by tricuspid annular plane systolic excursion (TAPSE). All patients underwent successful and uneventful. A postoperative TAPSE reduction was found in all groups. However, mini-invasive patients experienced a significant reduced variation versus traditional surgery. Mini-invasive mitral repair, with lateral incision of pericardium, reduces postoperative TAPSE fall, while cardioplegia protocol fails to have an impact onto longitudinal RV function. In our study, the RV seems to experience a clinically irrelevant geometrical modification too, whose entity appears to be less evident in case of lateral pericardial approach. These results could strengthen the use of minimally invasive approach also to preserve RV function.

X Demographics

X Demographics

The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 29 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 29 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 6 21%
Researcher 5 17%
Other 4 14%
Student > Ph. D. Student 3 10%
Student > Postgraduate 2 7%
Other 4 14%
Unknown 5 17%
Readers by discipline Count As %
Medicine and Dentistry 14 48%
Materials Science 2 7%
Unspecified 1 3%
Physics and Astronomy 1 3%
Unknown 11 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 December 2021.
All research outputs
#13,618,076
of 23,088,369 outputs
Outputs from Journal of Cardiothoracic Surgery
#240
of 1,251 outputs
Outputs of similar age
#170,287
of 329,782 outputs
Outputs of similar age from Journal of Cardiothoracic Surgery
#6
of 52 outputs
Altmetric has tracked 23,088,369 research outputs across all sources so far. This one is in the 39th percentile – i.e., 39% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,251 research outputs from this source. They receive a mean Attention Score of 2.2. This one has done well, scoring higher than 79% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 329,782 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 46th percentile – i.e., 46% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 52 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 88% of its contemporaries.