The Journal of Thoracic and Cardiovascular Surgery
Volume 134, Issue 3 , Pages 579-586 , September 2007

Time-dependent response of both ventricles after septal ablation: Implications for biventricular support after left ventricular assist device placement

  • James Mau, BSc, MB, BS

      Affiliations

    • Cardiac Technology Centre, Kolling Institute,
    • Corresponding Author InformationReprint requests: James Mau, BSc, MB, BS, Cardiac Technology Centre, Block 4, Level 3, Royal North Shore Hospital, Pacific Hwy, St Leonards, Sydney, NSW, Australia 2065
  • ,
  • Stuart Menzie, MB, BS, FRACS

      Affiliations

    • Cardiac Technology Centre, Kolling Institute,
  • ,
  • Michael Ward, MB, BS, PhD, FRACP

      Affiliations

    • Department of Cardiology at Royal North Shore Hospital, University of Sydney, Australia
  • ,
  • Henning Bundgaard, MD, PhD

      Affiliations

    • Department of Cardiology at Royal North Shore Hospital, University of Sydney, Australia
  • ,
  • Stephen Hunyor, MB, BS, MD, MTM, FRACP, FACC

      Affiliations

    • Cardiac Technology Centre, Kolling Institute,

Received 20 December 2006 ,Revised 23 February 2007 ,Accepted 26 March 2007.

References 

  1. Rose EA, Gelijns AC, Moskowitz AJ, Heitjan DF, Stevenson LW, Dembitsky W, et al. Long-term mechanical left ventricular assistance for end-stage heart failure: Randomised Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure (REMATCH). N Engl J Med. 2001;345:1435–1443
  2. Birks EJ, Tansley PD, Hardy J, George RS, Bowles CT, Burke M, et al. Left ventricular assist device and drug therapy for the reversal of heart failure. N Engl J Med. 2006;355:1873–1884
  3. Furukawa K, Motomura T, Nose Y. Right ventricular failure after left ventricular assist device implantation: the need for an implantable right ventricular assist device. Artif Organs. 2005;29:369–377
  4. Goldstein DJ, Oz MC, Rose EA. Implantable left ventricular assist devices. N Engl J Med. 1998;339:1522–1533
  5. Moon MR, Castro LJ, DeAnda A, Tomizawa Y, Daughters GT, Ingels NB, et al. Right ventricular dynamics during left ventricular assistance in closed-chest dogs. Ann Thorac Surg. 1993;56:54–67
  6. Morita S, Kormos RL, Mandarino WA, Eishi K, Kawai A, Gasior TA, et al. Right ventricular/arterial coupling in the patient with left ventricular assistance. Circulation. 1992;86:S316–S325
  7. Elbeery JR, Owen CH, Savitt MA, Davis JW, Feneley MP, Rankin JS, et al. Effects of the left ventricular assist device on right ventricular function. J Thorac Cardiovasc Surg. 1990;99:809–816
  8. Daly RC, Chandrasekaran K, Cavarocchi NC, Tajik AJ, Schaff HV. Ischemia of the interventricular septum (A mechanism of right ventricular failure during mechanical left ventricular assist). J Thorac Cardiovasc Surg. 1992;103:1186–1191
  9. Nielsen CD, Fernandes V, Spencer WH. Alcohol septal ablation for obstructive hypertrophic cardiomyopathy. Am Heart J. 2003;1:83–90
  10. Veselka J, Duchonova R, Prochazkova S, Homolova I, Palenickova J, Zemanek D, et al. The biphasic course of changes of left ventricular outflow gradient after alcohol septal ablation for hypertrophic obstructive cardiomyopathy. Kardiologia Polska. 2004;60:133–137
  11. Huang Y, Hunyor SN, Jiang L, Kawaguchi O, Shirota K, Ikeda Y, et al. Remodeling of the chronic severely failing ischemic sheep heart after coronary microembolization: functional, energetic, structural, and cellular responses. Am J Physiol Heart Circ Physiol. 2004;286:2141–2150
  12. Fishbein MC, Meerbaum S, Rit J, Lando U, Kanmatsuse K, Mercier JC, et al. Early phase acute myocardial infarct size quantification: validation of the triphenyl tetrazolium chloride tissue enzyme staining technique. Am Heart J. 1981;101:593–600
  13. Karliner JS, Ross JJ. Left ventricular performance after acute myocardial infarction. Prog Cardiovasc Dis. 1971;13:374–391
  14. Gallagher G, Jackson CJ, Hunyor SN. Myocardial extracellular matrix remodeling in ischemic heart failure. Front Biosci. 2007;12:1410–1419
  15. Stroud RE, Deschamps AM, Lowry AS, Hardin AE, Mukherjee R, Lindsey ML, et al. Plasma monitoring of the myocardial specific tissue inhibitor of metalloproteinase-4 after alcohol septal ablation in hypertrophic obstructive cardiomyopathy. J Card Fail. 2005;11:124–130
  16. Sugihara H, Adachi H, Nakagawa T, Inagaki S, Kubota Y, Ebizawa T, et al. Right ventricular systolic and diastolic functions assessed by 81mKr scintigraphy and relation to ventricular septal ischemia. J Cardiol. 1987;17:607–615
  17. Miyazaki S, Guth BD, Miura T, Indolfi C, Schulz R, Ross JJ. Changes of left ventricular diastolic function in exercising dogs without and with ischemia. Circulation. 1990;81:1058–1070
  18. Pasipoularides AD, Shu M, Shah A, Glower DD. Right ventricular diastolic relaxation in conscious dog models of pressure overload, volume overload, and ischemia. J Thorac Cardiovasc Surg. 2002;124:964–972
  19. Marsch SC, Dalmas S, Philbin DM, Wanigasekera VA, Ryder WA, Wong LS, et al. Post-ischemic diastolic dysfunction. J Cardiothorac Vasc Anesth. 1994;8:611–617
  20. Calvin JE. Right ventricular diastolic function after experimental right ventricular infarction: effects independent of the pericardium. Clin Invest Med. 1991;14:346–354
  21. Santamore WP, Dell'Italia LJ. Ventricular interdependence: significant left ventricular contributions to right ventricular systolic function. Prog Cardiovasc Dis. 1998;40:289–308
  22. Buckberg GD, Coghlan HC, Hoffman JI, Torrent-Guasp F. The structure and function of the helical heart and its buttress wrapping VII: critical importance of septum for right ventricular function. Semin Thorac Cardiovasc Surg. 2001;13:402–416
  23. Klima UP, Lee MY, Guerrero JL, Laraia PJ, Levine RA, Vlahakes GJ. Determinants of maximal right ventricular function: role of septal shift. J Thorac Cardiovasc Surg. 2002;123:72–80
  24. Lekven J, Mjos OD, Kjekshus JK. Compensatory mechanisms during graded myocardial ischemia. Am J Cardiol. 1973;31:467–473
  25. Molaug M, Geiran O, Kiil F. Compensatory cardiac mechanisms evoked by septal ischemia in dogs. Am J Cardiol. 1983;51:201–206
  26. Ansari A, Ho S, Anderson RN. Distribution of the Purkinje fibres in the sheep. Anat Rec. 1999;254:92–97
  27. Janse MJ, Rosen MR. History of arrhythmias. Handb Exp Pharmacol. 2006;1–39
  28. Chen AA, Palacios IF, Mela T, Yoerger DM, Picard MH, Vlahakes G, et al. Acute predictors of subacute complete heart block after alcohol septal ablation for obstructive hypertrophic cardiomyopathy. Am J Cardiol. 2006;97:264–269
  29. Veselka J, Prochazkova S, Duchonova R, Bolomova-Homolova I, Palenickova J, Tesar D, et al. Alcohol septal ablation for hypertrophic obstructive cardiomyopathy: lower alcohol dose reduces size of infarction and has comparable hemodynamic and clinical outcome. Catheter Cardiovasc Interv. 2004;63:231–235

 Supported by the National Health and Medical Research Council of Australia (Grant 262031) and the North Shore Heart Research Foundation (Grants 16-04/05 and 19-01/02). James Mau is a Dora Lush Scholar of the National Health and Medical Research Council.

PII: S0022-5223(07)00808-2

doi: 10.1016/j.jtcvs.2007.03.048

The Journal of Thoracic and Cardiovascular Surgery
Volume 134, Issue 3 , Pages 579-586 , September 2007