Mehmet Sait ALTINTAŞ
(Sağlık Bilimleri Üniversitesi, İstanbul Eğitim ve Araştırma Hastanesi, Kardiyoloji Anabilim Dalı, İstanbul, Türkiye)
Ahmet ÖZ
(Sağlık Bilimleri Üniversitesi, İstanbul Eğitim ve Araştırma Hastanesi, Kardiyoloji Anabilim Dalı, İstanbul, Türkiye)
Süleyman Çağan EFE
(Sağlık Bilimleri Üniversitesi, İstanbul Eğitim ve Araştırma Hastanesi, Kardiyoloji Anabilim Dalı, İstanbul, Türkiye)
Hasan AKİN
(Sağlık Bilimleri Üniversitesi, Yedikule Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Anabilim Dalı, İstanbul, Türkiye)
Ali Cevat KUTLUK
(Sağlık Bilimleri Üniversitesi, Yedikule Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Anabilim Dalı, İstanbul, Türkiye)
Taşkın RAKICI
(Sağlık Bilimleri Üniversitesi, İstanbul Eğitim ve Araştırma Hastanesi, Radyoloji Anabilim Dalı, İstanbul, Türkiye)
Turgut KARABAĞ
(Sağlık Bilimleri Üniversitesi, İstanbul Eğitim ve Araştırma Hastanesi, Kardiyoloji Anabilim Dalı, İstanbul, Türkiye)
Yıl: 2021Cilt: 4Sayı: 3ISSN: 2618-6454 / 2618-6454Sayfa Aralığı: 216 - 223İngilizce

23 0
Evaluation of the anatomical and electrical axis of the heart after pneumonectomy
Aim: To investigate the position of the heart after pneumonectomy and, also to find out how the changes in the electrical axis of the heart contribute for the possible electrocardiographic and echocardiographic changes. Methods: Ninety-eight patients with pneumonectomy were included to this observational study. To calculate the rotation of the heart and angle measurement two perpendicular lines, one septal and another atrioventricular, were drawn on the images acquired from thoracic computed tomography. Thoracic CT were taken at every 3 months for the first two years. On electrocardiograms net QRS vectors, amplitudes of p waves, findings of right and left ventricular hypertrophy, and other possible changes were recorded. Results: The mean age of all patients was 55.51 ± 8.9. Right pneumectomy was performed in 40 (57%) and left pneumonectomy in 30 cases (43%) cases. There was no significant change regarding both the angle of rotation and the amount of pleural effusion between the findings of the second and first year after the operation. The QRS shift was significantly more pronounced in patients with left pneumonectomies than right pneumonectomies. On echocardiography these cases showed right ventricular hypertrophy and increased pulmonary artery pressures in the second year when compared to the preoperative period. Conclusions: The current study showed that many significant changes occurred in the electrocardiographic and echocardiographic parameters of the heart after pneumonectomy.
DergiAraştırma MakalesiErişime Açık
  • [1]James TW, Faber LP. Indications for pneumonectomy. Pneumonectomy for malignant disease. Chest Surg Clin N Am. 1999; 9(2):291-309.
  • [2]Conlan AA, Kopec SE. Indications for pneumonectomy. Pneumonectomy for benign disease. Chest Surg Clin N Am. 1999; 9(2):311-26.
  • [3]Deslauriers J, Ugalde P, Miro S, et al. Longterm physiological consequences of pneumonectomy. Semin Thorac Cardiovasc Surg. 201;23(3):196-202.
  • [4] Nonaka M, Kadokura M, Yamamoto S, et al. Analysis of the anatomic changes in the thoracic cage after a lung resection using magnetic resonance imaging. Surg Today. 2000;30(10):879–85.
  • [5]Abbas AE, Liu P, Lee RW. Acquired postpneumonectomy dextrocardia. Interact Cardiovasc Thorac Surg. 2004;3(1):25-27.
  • [6]Smulders SA1, Holverda S, VonkNoordegraaf A, van den Bosch HC, Post JC, Marcus JT, Smeenk FW, Postmus PE. Cardiac function and position more than 5 years after pneumonectomy. Ann Thorac Surg. 2007;83(6):1986-92.
  • [7]Nair AS, Macherla G, Sahoo RK, Verma S. Electrocardiographic changes after lung resection: Case report and brief review. Anesth Essays Res. 2015; 9(2): 263–65.
  • [8]Bazwinsky-Wutschke I, Paulsen F, Stövesandt D, et al. Anatomical changes after pneumonectomy. Ann Anat. 2011;193(2):168-72.
  • [9]Weg IL, Rossoff L, McKeon K, et al. Development of Pulmonary Hypertension after Lung Volume Reduction Surgery. Am J Respir Crit Care Med. 1999;159(2):552- 56.
  • [10]Gould L, Gopalaswamy C, Chandy F, et al. EKG changes after left pneumonectomy. N Engl J Med. 1983;308(24):1481-82.
  • [11]Chhabra L, Bajaj R, Chaubey VK, et al. Electrocardiographic impacts of lung resection. J Electrocardiol. 2013;46(6):697.e1-8.
  • [12]O Rena, E Papalia, A Oliaro, et al. Supraventricular arrhythmias after resection surgery of the lung. Eur J Cardiothorac Surg. 2001;20(4):688-93.
  • [13]Foroulis CN, Kotoulas CS, Kakouros S, et al. Study on the late effect of pneumonectomy on right heart pressures using Doppler echocardiography. Eur J Cardiothorac Surg. 2004;26(3):508-14.

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