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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.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| transthoracic echocardiography (TTE) | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| occurrence 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. | day 30 |
| Measure | Description | Time Frame |
|---|---|---|
| Variation of RV systolic function from baseline in patients with MACE | at day 1 | |
| Variation of RV systolic function from baseline in patients without MACE | at day 1 | |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Amiens Picardie | Amiens | France |
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| Variation of RV systolic function from baseline in patients with MACE |
| at day 2 |
| Variation of RV systolic function from baseline in patients without MACE | at day 2 |
| Variation of RV systolic function from baseline in patients with MACE | at day 15 |
| Variation of RV systolic function from baseline in patients without MACE | at day 15 |
| Variation of RV systolic function from baseline in patients with MACE | within day 30 |
| Variation of RV systolic function from baseline in patients without MACE | within day 30 |
| Assessment of RV systolic function preoperatively | at day 30 |
| occurrence of a postoperative complication | at day 30 |