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Ventricular Interdependence and Biventricular Failure: Key Concept for Heart Failure Management

Yanis Bouali
Yanis Bouali
 and 
Erwan Donal
Erwan Donal
   | May 03, 2022
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Article Category: Review
Published Online: May 03, 2022
Page range: 234 - 257
DOI: https://doi.org/10.47803/rjc.2021.31.2.243
Keywords
© 2021 Yanis Bouali et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1

Fundamental functions and impact of the septum between both ventricle.
Fundamental functions and impact of the septum between both ventricle.

Figure 2

Look at the septal motion (or deformation): the interdependent leads to a paradoxical motion seen in M-mode and with the strain modality (yellow and light blue curves.
Look at the septal motion (or deformation): the interdependent leads to a paradoxical motion seen in M-mode and with the strain modality (yellow and light blue curves.

Figure 3

A) amplitude change of the mitral inflow according to the inspiration / expiration >25%. B-C) e’ septal >e’ lateral. D) delayed and weaker longitudinal deformation at the base than at the apex.
A) amplitude change of the mitral inflow according to the inspiration / expiration >25%. B-C) e’ septal >e’ lateral. D) delayed and weaker longitudinal deformation at the base than at the apex.

Figure 4

Functional role of complementary geometry in a common pericardium: Example of RV volume overload.
Functional role of complementary geometry in a common pericardium: Example of RV volume overload.

Figure 5

A) As a consequence of the right ventricle dilatation and dysfunction, the interaction with the left ventricle lead to a left ventricular dysfunction. B) Delayed deformation of the septum, even elongation in early systole: consequence of the volume overload of the right ventricle in a patient with a severe tricuspid regurgitation.
A) As a consequence of the right ventricle dilatation and dysfunction, the interaction with the left ventricle lead to a left ventricular dysfunction. B) Delayed deformation of the septum, even elongation in early systole: consequence of the volume overload of the right ventricle in a patient with a severe tricuspid regurgitation.

Figure 6

Ventricular interdependence in acute or chronic pulmonary hypertension.
Ventricular interdependence in acute or chronic pulmonary hypertension.

Figure 7

Ventricular interdependence in the presence of LVAD (Adapted from Meineri et al.90).
Ventricular interdependence in the presence of LVAD (Adapted from Meineri et al.90).
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