Therapeutic strategy for functional tricuspid regurgitation in patients undergoing mitral valve repair for severe mitral regurgitation

Kitai, Takeshi; Furukawa, Yutaka; Murotani, Kenta; Krittanawong, Chayakrit; Kaji, Shuichiro; Koyama, Tadaaki; Okada, Yukikatsu

doi:10.1016/j.ijcard.2016.10.056

Cited by 5 publications

(2 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, a significant number of patients develop relevant functional tricuspid regurgitation (TR) following mitral valve repair, which has been reported as being responsible for an increase in mortality late after mitral valve surgery. 32 Concomitant repair of TR, although associated with a higher operative risk, reduces progression of TR and new onset right ventricular dysfunction. That has led to a trend of performing concomitant tricuspid valve repair even in the setting of mild TR in case of significant tricuspid annular dilation.…”

Section: Discussionmentioning

confidence: 99%

Complex Valve Surgery in Elderly Patients: Increasingly Necessary and Surprisingly Feasible

Saha

Varghese

Ahmad

et al. 2018

Thorac cardiovasc Surg

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Complex Valve Surgery in Elderly Patients: Increasingly Necessary and Surprisingly Feasible

Saha

Varghese

Ahmad

et al. 2018

Thorac cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…Several studies have reported a high prevalence of postoperative TR in rheumatic MV [ 20 , 24 ] and functional MR, with rheumatic MR being reported as an independent risk factor for late significant TR [ 20 , 24 , 25 , 27 , 31 ]. Our study showed TR progression towards more than moderate in only 2 patients (1.2%).…”

Section: Discussionmentioning

confidence: 99%

Longitudinal echocardiographic and clinical follow-up of patients undergoing mitral valve surgery without concomitant tricuspid valve repair

et al. 2018

View full text Add to dashboard Cite

BackgroundIn patients with mild to moderate functional tricuspid regurgitation (TR) and absence of right ventricular dysfunction or tricuspid annulus (TA) dilatation, there is currently no indication for concomitant tricuspid valve (TV) repair during elective mitral valve (MV) surgery. However, long-term results are conflicting. Here, we sought to determine the clinical outcome of this cohort, the rate of TR progression after MV surgery and the role of MV aetiology.MethodsPatients for elective MV surgery without concomitant TV repair were retrospectively analysed with longitudinal echocardiographic and clinical follow-up, focusing on TR progression and MV aetiology. Linear regression analysis was performed for change in TR at follow-up, using pre-determined variables and confounders.ResultsIn total 204 patients without TV repair were analysed. Development of more than moderate TR after a median of 3.1 [1.6–4.6] years was rarely seen: only in 2 out of 161 patients (1.2%) with known TR grade at follow-up. Overall, median preoperative and late postoperative TR grade were equal (p = 0.116). Subanalysis showed no significant difference in MV aetiology subgroups. Preoperative TR grade and male gender were inversely correlated to change in TR. Mortality was not influenced by the 1‑year postoperative TR severity.ConclusionOur data showed that in a study population of patients with mild to moderate TR undergoing MV surgery without concomitant TV repair, significant late TR was rarely seen. Based on our study, it is safe to waive concomitant TV repair in this specific patient cohort.Electronic supplementary materialThe online version of this article (10.1007/s12471-018-1159-4) contains supplementary material, which is available to authorized users.

show abstract

Optimal Timing of Surgery for Patients with Active Infective Endocarditis

et al. 2021

View full text Add to dashboard Cite

Therapeutic strategy for functional tricuspid regurgitation in patients undergoing mitral valve repair for severe mitral regurgitation

Cited by 5 publications

References 27 publications

Complex Valve Surgery in Elderly Patients: Increasingly Necessary and Surprisingly Feasible

Complex Valve Surgery in Elderly Patients: Increasingly Necessary and Surprisingly Feasible

Longitudinal echocardiographic and clinical follow-up of patients undergoing mitral valve surgery without concomitant tricuspid valve repair

Optimal Timing of Surgery for Patients with Active Infective Endocarditis

Contact Info

Product

Resources

About