Predictors of residual tricuspid regurgitation after mitral valve surgery

Long-Term Outcomes of Tricuspid Annuloplasty for Functional Tricuspid Regurgitation Associated with Degenerative Mitral Regurgitation: Suture Annuloplasty Versus Ring Annuloplasty Using a Flexible Band

“…Several factors, such as female gender, 3,7) older age, 3,4) preoperative AF, 7) diabetes mellitus, 7) and severe preoperative TR 20) are reported to be associated with an increase in TR with time. Mutlak, et al report that PH is a strong determinant of TR severity, but many patients with PH do not exhibit significant TR.…”

Development of tricuspid regurgitation late after left-sided valve surgery: A single-center experience with long-term echocardiographic examinations

“…15 The reported incidences of TR late after left-sided valve surgery vary from 16% to 67%, according to study population, the definition of significant TR, and follow-up duration. 5,[10][11][12] Tricuspid regurgitation incidence was found to be 16% by Matsuyama et al 11 , but the follow-up duration was relatively short (mean 8.2 years). In contrast, Porter et al 5 reported a much higher incidence of 67% after a mean follow-up of ca 11 years, but the study population was relatively small.…”

“…Previous studies have shown that the presence of preoperative significant TR, the presence of preoperative atrial fibrillation, an advanced age, or huge left atrium is an independent predictor of late TR development. 5,11,12 In the present study, we only recruited patients without significant preoperative TR to emphasize the de novo development of significant TR and to remove potential by residual TR after left-sided valve surgery. As a result, it was found that only 1 clinical factor, the presence of preoperative atrial fibrillation, contributed independently to the occurrence of late TR by multivariate analysis.…”

“…In this regard, information regarding the incidence and predictors of progression or development of late TR is of substantial value for determining optimal operative timing and the surgical strategy to prevent late TR development, at the time of surgery for underlying left-sided valve disease. Several previous reports on this topic have been limited by a relatively small study population, 5,10 a short-term follow-up, 11 or the lack of reliable echocardiographic data. 12 Therefore, the present study was performed to investigate the incidence of late de novo TR development after left-sided valve surgery and to identify preoperative predictors in patients without significant preoperative TR by long-term clinical and echocardiographic follow-up.…”

Clinical Outcomes After Tricuspid Valve Annuloplasty in Addition to Mitral Valve Surgery

“…[16][17][18] In addition, significant progression of TR in patients having moderate TR undergoing MVP ⁄ MVR will occur in up to 25% of cases at 1 year, up to 53% at 3 years, and more than 74% at long-term follow-up. 19 Therefore, the traditional view that functional TR or tricuspid annulus dilation diminishes with surgical correction of left-sided lesions is no longer accepted. 5 This is reflected by the endorsement of TVP to be performed during left-sided cardiac surgery in case of tricuspid annulus dilation or functional TR by the Guidelines from the European Society of Cardiology, American Heart Association, and American College of Cardiology.…”