Natural history of coexistent tricuspid regurgitation in patients with degenerative mitral valve disease: Implications for future guidelines

Goldstone, Andrew B.; Howard, Jessica; Cohen, Jeffrey Е.; MacArthur, John W.; Atluri, Pavan; Kirkpatrick, James N.; Woo, Y. Joseph

doi:10.1016/j.jtcvs.2014.08.001

Cited by 90 publications

(63 citation statements)

References 29 publications

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“…Tricuspid regurgitation (TR) involves enlargement of the valve annulus and tethering of the leaflets, as a consequence of dilatation and/or dysfunction of the right sided heart chambers (1,2). Although mild TR is usually insignificant, moderate-severe TR is an independent risk factor for progressive heart failure and increased mortality (3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Flexible band versus rigid ring annuloplasty for tricuspid regurgitation: a systematic review and meta-analysis

Wang¹,

Phan²,

Tian³

et al. 2017

Ann. Cardiothorac. Surg.

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Background: Up to 20% of patients have pre-discharge residual moderate to severe tricuspid regurgitation (TR) after tricuspid repair. Reoperations for recurrent TR carry high mortality rates, which emphasizes the importance of identifying the optimal technique for the surgical management of TR. The present study is a systematic review and meta-analysis that aims to compare short and long term survival and freedom from TR of flexible band ring versus rigid ring for annuloplasty of TR. Methods:We conducted a systematic review and meta-analysis of comparative studies to evaluate these procedures. A systematic search of the literature was performed from six electronic databases. Pooled metaanalysis was conducted using odds ratio (OR) and weighted mean difference (WMD).Results: The rates of in-hospital mortality were not different between the two groups, with cumulative rates Compared to flexible band, rates of TR are stable after rigid ring annuloplasty and long term freedom from TR are superior for rigid ring devices. Large prospective randomized trials are required in order to validate these findings and assess for improvements in patient survival.

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Section: Introductionmentioning

confidence: 99%

Flexible band versus rigid ring annuloplasty for tricuspid regurgitation: a systematic review and meta-analysis

Wang¹,

Phan²,

Tian³

et al. 2017

Ann. Cardiothorac. Surg.

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“…Importantly, TV repair achieved superior freedom from TR and improved RV function and pulmonary artery hypertension in patients with worse baseline conditions when compared with MV repair alone. Another observational study supporting prophylactic tricuspid annuloplasty in patients undergoing MV repair for degenerative MR was recently reported by Goldstone and co-workers [16]. The authors defined the incidence and natural history of concomitant less than severe TR in patients submitted to MV repair for degenerative MR.…”

Section: Indications For Tricuspid Valve Surgery In Secondary Tricuspmentioning

confidence: 96%

Surgical indication for functional tricuspid regurgitation at initial operation: judging from long term outcomes

Pozzoli

Lapenna

Vicentini

et al. 2016

Gen Thorac Cardiovasc Surg

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The assessment and management of tricuspid valve disease have evolved substantially during the past several years. Whereas tricuspid stenosis is uncommon, tricuspid regurgitation is frequently encountered and it is most often secondary due to annular dilatation and leaflet tethering from right ventricular remodelling. The indications for tricuspid valve surgery to treat tricuspid regurgitation are several and mainly related to the underlying disease, to the severity of insufficiency and to the right ventricular function. Surgical tricuspid repair has been avoided for years, because of the misleading concept that tricuspid regurgitation should disappear once the primary left-sided problem has been eliminated. Instead, during the last decade, many investigators have reported evidence in favor of a more aggressive surgical approach to functional tricuspid regurgitation, recognising the risk of progressive tricuspid insufficiency in patients with moderate or lesser degrees of tricuspid regurgitation and tricuspid annular dilatation. This concept, along with the long-term outcomes of principal surgical repair techniques are reported and discussed. Last, novel transcatheter therapies have begun to emerge for the treatment of severe tricuspid regurgitation in high-risk patients. Hence, very preliminary pre-clinical and clinical experiences are illustrated. The scope of this review is to explore the anatomic basis, the pathophysiology, the outcomes and the new insights in the management of functional tricuspid regurgitation.

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“…Various factors have been reported as risk factors for the persistence or late worsening of TR, 2,4-6,19-24 but Goldstone et al reported that the TAD index was the only significant risk factor for late significant TR in patients with mild or no preoperative TR. 25 In addition, Van de Veire et al reported that the worsening of untreated TR after MVS was mainly determined by the tricuspid annular dimension, not by preoperative TR. 6 Importantly, the present study has shown that current guidelines pertaining to the TAD index for the indication of tricuspid valve surgery, 7,8 which were derived from reports on concomitant MVS alone, 2,4,6 can be applied in isolated AVR for AS.…”

Section: Disclosuresmentioning

confidence: 99%

Definitive Determinant of Late Significant Tricuspid Regurgitation After Aortic Valve Replacement

Yajima

Yoshioka

Toda

et al. 2018

Circ J

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Natural history of coexistent tricuspid regurgitation in patients with degenerative mitral valve disease: Implications for future guidelines

Cited by 90 publications

References 29 publications

Flexible band versus rigid ring annuloplasty for tricuspid regurgitation: a systematic review and meta-analysis

Flexible band versus rigid ring annuloplasty for tricuspid regurgitation: a systematic review and meta-analysis

Surgical indication for functional tricuspid regurgitation at initial operation: judging from long term outcomes

Definitive Determinant of Late Significant Tricuspid Regurgitation After Aortic Valve Replacement

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