Does the mitral valve prosthesis adversely affect the hemodynamic performance of the aortic valve prosthesis in patients with double valve replacement?

Spiliotopoulos, Konstantinos; Armstrong, Susan; Maganti, Manjula; David, Tirone E.

doi:10.1016/j.jtcvs.2011.10.030

Cited by 4 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Double-valve replacement (DVR) is more complex than an isolated aortic or mitral valve replacement (MVR). [ 1 ] Following left-sided valve surgery, left-sided valve dysfunction with tricuspid regurgitation (TR) may occur owing to progression of rheumatic disease in native heart valves or to prosthetic valve dysfunction. [ 2 ] Recently, several studies have shown that DVR is more strongly related to the late severe TR.…”

Section: Introductionmentioning

confidence: 99%

The factors associated with progression of tricuspid regurgitation after left-sided double valve replacement in propensity score matched analysis

Aksoy¹,

Karagöz²,

Çevirme³

et al. 2022

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

Background: This study aims to investigate the association of progression of tricuspid regurgitation following double-valve replacement by comparing the tricuspid valve repair and no repair groups, and to analyze outcomes of patients with non-repaired mild-to-moderate tricuspid regurgitation. Methods: Between January 2014 and September 2017, a total of 157 patients (74 males, 83 females; mean age: 51.7±13.7 years; range, 18 to 78 years) who underwent aortic and mitral valve replacements with/without concomitant tricuspid valve repair were retrospectively analyzed. The patients were divided into two groups: no-repair (n=78) and repair groups (n=79). The primary outcome measure was development of more than moderate tricuspid regurgitation during follow-up. Results: The data were evaluated according to propensity score matched analysis. The progression of tricuspid regurgitation was significantly increased in the no-repair group (p=0.006). Rheumatic etiology was independently associated with the presence of postoperative moderateto- severe tricuspid regurgitation (p=0.004, odds ratio: 3.40). There was no statistically significant difference between the groups in terms of the potential complications and mortality and survival rates. A multivariable subgroup analysis for the baseline mild-to-moderate tricuspid regurgitation without repair showed that rheumatic etiology was an independent factor for the progression of postoperative tricuspid regurgitation (p=0.01). Conclusion: Our study results demonstrated that rheumatic etiology was an independent marker for increased tricuspid regurgitation and it was also independently associated with increased tricuspid regurgitation in patients with mild-to-moderate non-repaired patients. The degree of tricuspid regurgitation was improved in the repair group during follow-up.

show abstract

Section: Introductionmentioning

confidence: 99%

The factors associated with progression of tricuspid regurgitation after left-sided double valve replacement in propensity score matched analysis

Aksoy¹,

Karagöz²,

Çevirme³

et al. 2022

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

show abstract

“…Double valve replacement (DVR) is a more complex procedure than isolated aortic or mitral valve replacement (1). In patients with DVR, the presence of a mitral valve prosthesis may be related to adverse effect of aortic valve prostheses (2).…”

Section: Introductionmentioning

confidence: 99%

The Factors Affecting Long Term Tricuspid Regurgitation After Double Valve Replacement

Aksoy

Çevirme

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: This study aims to determine the hemodynamic performance of double valve prostheses and its effects on long term outcomes of tricuspid regurgitation(TR) following double valve replacement (DVR). Methods: Between January 2014-September 2017, all patients undergoing concomitant aortic and mitral valve replacement with or without concomitant tricuspid valve repair at the same center were reviewed. All patients were divided into three groups according to interventions tricuspid valve(TVI), that is no-tricuspid annuloplasty(TAP), tricuspid ring annuloplasty and tricuspid de-vega annuloplasty (TDVA).Results: The study included 179 patients, of whom 52% were women(with mean age 51.7±13.7 years). Of 179 patients, 100 were in the no-TAP group, 39 were in the ring annuloplasty group and 40 were in the TDVA group. There was no statically significant difference among the groups with regard to potential complications, in-hospital mortality and the survival rates. The degree of TR decreased with TVI. The rates of moderate and severe TR were significantly lower in in the ring annuloplasty group (P = 0.04 and 0.004). Female gender (OR = 4.0, 95%CI: 1.0-15.5, p = 0.05) and preoperative TR degree(OR = 2.9, 95%CI: 1.1-7.3, p = 0.01) were an independent predictors for the development of postoperative severe TR. Conclusion: Although the degree of postoperative TR varies according to whether to perform a TVI, DVR can be safe due to low operative mortality independently from TVI. The rates of moderate and severe TR were significantly lower in the ring annuloplasty group and female gender was an independent risk factor of TR progression.

show abstract

Clinical management of coagulation status and placenta previa in a pregnant woman with Marfan’s syndrome after mitral and aortic mechanical heart valve replacement

Nakanishi

Kamiya

Shionoiri

et al. 2020

Gen Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Does the mitral valve prosthesis adversely affect the hemodynamic performance of the aortic valve prosthesis in patients with double valve replacement?

Abstract: Early after surgery, the hemodynamic performance of aortic valve prostheses was not affected by the presence of mitral valve prostheses in patients who underwent combined aortic and mitral valve replacement.

Cited by 4 publications

References 3 publications

The factors associated with progression of tricuspid regurgitation after left-sided double valve replacement in propensity score matched analysis

The factors associated with progression of tricuspid regurgitation after left-sided double valve replacement in propensity score matched analysis

The Factors Affecting Long Term Tricuspid Regurgitation After Double Valve Replacement

Clinical management of coagulation status and placenta previa in a pregnant woman with Marfan’s syndrome after mitral and aortic mechanical heart valve replacement

Contact Info

Product

Resources

About