Comparison between Different Tricuspid Valve Procedures through Postoperative Inflammation and Myocardial Enzymes

Sun, Zuoyong; Zhang, Zhigang; Wei, Shixiong

doi:10.21470/1678-9741-2020-0158

Cited by 2 publications

(2 citation statements)

References 17 publications

(17 reference statements)

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“…We conducted a study in 2020 comparing changes regarding postoperative inflammatory reaction and myocardial injury markers after thoracoscopic and sternotomy/thoracotomy TV procedures, the leukocyte and C-reactive protein levels, lactate dehydrogenase, creatine kinase, creatine kinase myocardial band, aspartate aminotransferase, and troponin T levels were used and concluded as markers of myocardial injury as well as inflammatory response and concluded that the thoracoscopic TVP itself can significantly reduce postoperative myocardial injury and somewhat reduce the systemic inflammatory response. 2 In addition, in another evaluation of the outcome of redo total thoracoscopic isolated tricuspid valve procedure, we likewise found that minimally invasive, isolated TV surgery as reoperation can be safe and may improve clinical outcome. 3…”

mentioning

confidence: 60%

Supplement to the assessment of the prognostic outcome of isolated tricuspid valve surgery

Song

Fan

Jiang

2021

Journal of Cardiac Surgery

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mentioning

confidence: 60%

Supplement to the assessment of the prognostic outcome of isolated tricuspid valve surgery

Song

Fan

Jiang

2021

Journal of Cardiac Surgery

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“…In cardiac surgery, ischemia-reperfusion, cardiopulmonary bypass time, and other factors can cause varying degrees of ischemia-reperfusion injury and systemic inflammatory response by promoting the coagulation pathway, complement factors, and activation of the cellular immune response[ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Application effect of thoracoscopic tricuspid valvuloplasty in geriatric patients with tricuspid valve disease

Jiang¹,

Long²,

Wei³

et al. 2022

WJCC

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BACKGROUND Thoracoscopic-assisted technology can ensure that doctors can implement minimally invasive treatment through the right intercostal incision or small incision of the lower sternum. This approach not only can achieve a cardiac correction effect equivalent to that of a thoracotomy but also has the benefit of a clear surgical field ensuring the safety of surgical treatment. AIM To investigate the effect of thoracoscopic tricuspid valvuloplasty in patients with tricuspid valve disease. METHODS A total of 41 patients with tricuspid valve disease underwent traditional thoracotomy treatment between January 2018 and June 2020. Forty-one patients with tricuspid valve disease who underwent thoracoscopic tricuspid valvuloplasty treatment between July 2020 and June 2021 in our hospital were selected as controls for our retrospective analysis. The study group underwent thoracoscopic tricuspid valvuloplasty, while traditional thoracotomy was performed in the control group. The operation conditions (the duration of extracorporeal circulation, aorta blocking, endotracheal intubation, and surgery), inflammatory response-related indices (C-reactive protein and white blood cell count) before and after surgery, parameters related to myocardial injury (myocardial troponin T, creatine kinase isoenzyme, creatine kinase, and lactate dehydrogenase), and the incidence of adverse events in the two groups was counted. RESULTS The duration of extracorporeal circulation (109.35 ± 50.31 min), aortic occlusion (94.26 ± 59.61 min), endotracheal intubation (12.59 ± 3.54 h), and hospital stay (5.29 ± 2.34 d) in the study group were shorter than those in the control group (114.91 ± 46.98 min, 101.37 ± 61.44 min, 13.11 ± 4.01 h, 7.09 ± 3.11 d, respectively). The difference in hospital stay between the two groups was statistically significant ( P < 0.05). Serum C-reactive protein level (4.69 ± 1.35 mg/L) and white blood cell count (6.21 ± 1.97 × 10 9 /L) in the study group were found to be not significantly different than those in the control group (5.01 ± 1.18 mg/L, 5.98 ± 2.01 × 10 9 /L, respectively; P > 0.05). Myocardial troponin T (0.04 ± 0.02 ng/mL), creatine kinase isoenzyme (4.02 ± 1.11 mg/mL), creatine kinase (91.35 ± 10.44 U/L), and lactate dehydrogenase (179.81 ± 60.04 U/L) in the study group were also not statistically significant different than those in the control group (0.05 ± 0.03 ng/mL, 3.97 ± 1.05 mg/mL, 89.69 ± 13.05 U/L, 186.35 ± 56.96 U/L; P > 0.05). After the operation, serum C-reactive protein level (7.89 ± 1.73 mg/L) and white blood cell count (10.76 ± 2.35 × 10 9 /L) in the study group were significantly lower than those in the control group (9.96 ± 2.04 mg/L, 14.84 ± 3.07 × 10 9 /L, respectively) ( P ...

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Comparison between Different Tricuspid Valve Procedures through Postoperative Inflammation and Myocardial Enzymes

Cited by 2 publications

References 17 publications

Supplement to the assessment of the prognostic outcome of isolated tricuspid valve surgery

Supplement to the assessment of the prognostic outcome of isolated tricuspid valve surgery

Application effect of thoracoscopic tricuspid valvuloplasty in geriatric patients with tricuspid valve disease

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