Related Experiment Video
Updated: Apr 7, 2026
07:27
Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome
Published on: January 23, 2026
506
[Cardiac and respiratory changes in the medium term after lung resection].
Tevfik Kaplan1, Aslı Tanındı2, Murat Uğurlu2
1Department of Thoracic Surgery, Ufuk University Faculty of Medicine, Ankara, Turkey.
Summary
Lung cancer surgery impacts heart function, with pneumonectomy causing more right ventricular impairment than segmentectomy/lobectomy. Early detection of right ventricular dysfunction via echocardiography is crucial for patient follow-up.
Area of Science:
- Cardiology
- Thoracic Surgery
- Pulmonology
Context:
- Lung cancer treatment often involves surgical resection, including segmentectomy/lobectomy and pneumonectomy.
- Postoperative assessment of cardiac and respiratory function is essential for patient recovery and long-term outcomes.
Purpose:
- To evaluate cardiac and respiratory function 6 months after lung cancer surgery (segmentectomy/lobectomy vs. pneumonectomy).
- To compare the effects of different surgical approaches on left and right ventricular function.
Summary:
- Left ventricular function remained stable post-surgery in both groups.
- Pneumonectomy led to a significant decrease in tricuspid annular plane systolic excursion (TAPSE) and slight impairment in right ventricular systolic function (S') and isovolumic acceleration (IVA).
- Both surgical groups showed impaired right ventricular diastolic function (tricuspid E'/A'), with segmentectomy/lobectomy also showing decreased IVA.
Impact:
- Segmentectomy/lobectomy is preferable to pneumonectomy due to less significant right ventricular dysfunction.
- Tissue Doppler Imaging (TDI) is recommended for routine echocardiographic evaluation to identify patients at risk of right ventricular dysfunction for closer cardiovascular monitoring.
More Related Videos
Related Concept Videos
01:17Pulmonary Cycle: Exhalation
5.0K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
5.0K
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
432
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
432
01:23Acute Respiratory Failure-IV
731
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
731
01:27Pneumothorax-II
1.5K
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
1.5K
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
1.0K
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
1.0K
01:29Acute Respiratory Failure-V
657
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
657