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Right Heart Pathology pp 881–899Cite as

The Impact of Pneumonectomy on the Right Ventricular Function

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Abstract

Notably, pulmonary resection is used in much pathology and more frequently during last years, especially due to the increased incidence of the cases diagnosed with lung cancer. Pulmonary resection surgery varies from the detachment of a lung region (atypical resections, segmentectomy, lobectomy or bilobectomy) to complete unilateral pulmonary removing (pneumonectomy). Left pneumonectomy is usually better tolerated than right pneumonectomy and some authors further said that “the right pneumonectomy was a disease itself”. Only that, this procedure has a proven impact on the heart function, particularly on the right ventricle performance. There is no doubt that pneumonectomy has consequences on the cardiac performance expressed by preload and afterload changes, as well as contractility adjustment by progressive dilatation of the right ventricle. Repercussions on the right ventricle function are the increase or reduction in volume or flow. Evaluation techniques are multiple but currently the mechanism of adaptation of the right ventricle to the conditions of pneumonectomy it is not precisely acknowledged. Deterioration of the right ventricle function begins after 6 months and is progressive to heart failure. Lobectomy and segmentectomy have fewer changes in the right ventricle performance due to the higher functional lung parenchyma remainder.

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Authors and Affiliations

  1. “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

    Claudiu Nistor

  2. Thoracic Surgery Department, “Carol Davila” Central Military Emergency University Hospital, Bucharest, Romania

    Claudiu Nistor & Adrian Ciuche

  3. Cardiology Department, “Carol Davila” Central Military Emergency University Hospital, Bucharest, Romania

    Dragoş Săvoiu

  4. Thoracic Surgery Department, Oncology Institute “Alexandru Trestioreanu”, Bucharest, Romania

    Olivia Batog

  5. Department of Cardiology, “Prof. C.C. Iliescu” Emergency Institute for Cardiovascular Diseases, Bucharest, Romania

    Ecaterina Bontaş

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  1. Claudiu Nistor
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Editors and Affiliations

  1. Department of Medicine, Titu Maiorescu University, Bucharest, Romania

    Silviu Ionel Dumitrescu

  2. Department of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania

    Ion C. Ţintoiu

  3. Department of Surgery, Chinese University of Hong Kong, Sha Tin, Hong Kong

    Malcolm John Underwood

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Nistor, C., Ciuche, A., Săvoiu, D., Batog, O., Bontaş, E. (2018). The Impact of Pneumonectomy on the Right Ventricular Function. In: Dumitrescu, S., Ţintoiu, I., Underwood, M. (eds) Right Heart Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-73764-5_51

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