Echokardiografie bei Rechtsherzerkrankungen

Die transthorakale Echokardiografie (TTE) bei Rechtsherzerkrankungen stellt aufgrund der retrosternalen Lage des rechten Ventrikels (RV) eine Herausforderung dar. Die transösophageale Echokardiografie liefert zusätzliche wertvolle Informationen bei der Abklärung einer Rechtsherzvergrößerung und Erkrankungen der Trikuspidalklappe [1]. Seit geraumer Zeit stehen validierte quantitative TTE-Messparameter zur Verfügung [2]. Neben der Systematik zur quantitativen RV-Funktionsanalyse wird im Folgenden auf spezifische Erkrankungen des rechten Herzens eingegangen.

Schlüsselwörter

Echokardiografie - Rechtsherzerkrankung - rechter Ventrikel - transösophageale Echokardiografie - Karzinoid - AVRD

• Literatur

• 1 Lambertz H, Lethen H. Hrsg. Transösophageale Echokardiographie. Lehrbuch und Atlas zur Untersuchungstechnik und sicheren Befundinterpretation. 4. Auflage. Stuttgart: Thieme; 2018
• 2 Lang RM, Badano L, Mor-Avi V. et al. Recommendations for cardiac chamber quantification by echocardiography in adults: An update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging 2015; 16: 233-271
• 3 Badano LP, Kolias TJ, Muraru D. et al. Standardization of left atrial, right ventricular, and right atrial deformation imaging using two-dimensional speckle tracking echocardiography: a consensus document of the EACVI/ASE/Industry Task Force to standardize deformation imaging. Eur Heart J Cardiovasc Imaging 2018; 19: 591-600
• 4 Buechel ERV, Mertens LL. Imaging the right heart: the use of integrated multimodality imaging. Eur Heart J 2012; 33: 949-960
• 5 Peyrou J, Chauvel C, Pathak A. et al. Preoperative right ventricular dysfunction is a strong predictor of 3 years survival after cardiac surgery. Clin Res Cardiol 2017; 106: 734-742
• 6 Stankovic I, Daraban A M, Jasaityte R. et al. Incremental value of the en face view of the tricuspid valve by two-dimensional and three-dimensional echocardiography for accurate identification of tricuspid valve leaflets. J Am Soc Echocardiogr 2014; 27: 376-384
• 7 Tamborini G, Pepi M, Galli CA. et al. Feasibility and accuracy of a routine echocardiographic assessment of right ventricular function. Int J Cardiol 2007; 115: 86-89
• 8 Choong CY, Abascal VM, Weyman J. et al. Prevalence of valvular regurgitation by Doppler echocardiography in patients with structurally normal hearts by two-dimensional echocardiography. Am Heart J 1989; 117: 636-642
• 9 Lee RT, Lord CP, Plappert T. et al. Prospective Doppler echocardiographic evaluation of pulmonary artery diastolic pressure in the medical intensive care unit. Am J Cardiol 1989; 64: 1366-1370
• 10 Schroeder R. Pulmonic valve endocarditis in a normal heart. J Am Soc Echocardiogr 2005; 18: 197-198
• 11 Beigel R, Cerek B, Luo H. et al. Noninvasive evaluation of right atrial pressure. J Am Soc Echocardiogr 2013; 26: 1033-1042
• 12 Rudzki LG, Gargani L, Amstrong WA. et al. Stressing the cardiopulmonary vascular system: the role of echocardiography. J Am Soc Echocardiogr 2018; 31: 527-550
• 13 Marcus FI, McKenna WJ, Sherrill D. et al. Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the task force criteria. Circulation 2010; 121: 1533-1541
• 14 Shiina A, Seward JB, Edwards WD. et al. Two-dimensional echocardiographic spectrum of Ebsteinʼs anomaly: detailed anatomic assessment. J Am Coll Cardiol 1984; 3: 356-370
• 15 Löffler W. Endocarditis parietalis fibroplastica mit Bluteosinphilie. Ein eigenartiges Krankheitsbild. Schweiz Med Wschr 1936; 66: 817-820
• 16 Eroglu E, Di Salvo G, Herbots L. et al. Restrictive left ventricular filling in hypereosinophilic syndrome as a result of partial cavity obliteration by an apical mass: A strain/strain rate study. J Am Soc Echocardiogr 2003; 16: 1088-1090
• 17 Ross EN, Roberts WC. The carcinoid syndrome: comparison of 21 necropsy subjects with carcinoid heart disease to 15 necropsy subjects without carcinoid heart disease. Am J Med 1985; 79: 339-354
• 18 Roberts WC. A unique heart disease associated with a unique cancer: carcinoid heart disease. Am Heart J 1997; 80: 251-256