ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Katsuhiko Matsuyama
Masahiko Matsumoto
Takaaki Sugita
Junichiro Nishizawa
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Matsuyama, K.
Right arrow Articles by Matsuo, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Matsuyama, K.
Right arrow Articles by Matsuo, T.

Ann Thorac Surg 2003;75:1826-1828
© 2003 The Society of Thoracic Surgeons

Original article: cardiovascular

Predictors of residual tricuspid regurgitation after mitral valve surgery

Katsuhiko Matsuyama, MDa*, Masahiko Matsumoto, MDa, Takaaki Sugita, MDa, Junichiro Nishizawa, MDa, Yoshiyuki Tokuda, MDa, Takehiko Matsuo, MDa

a Department of Cardiovascular Surgery, Tenri Hospital, Tenri, Nara, Japan

Accepted for publication December 31, 2002.

* Address reprint requests to Dr Matsuyama, Department of Cardiovascular Surgery, Tenri Hospital, 200 Mishima, Tenri, Nara, 632-8552 Japan
e-mail: k-matsuy{at}f3.dion.ne.jp

BACKGROUND: Whether preoperative tricuspid regurgitation (TR) will regress or progress late after surgery is unknown. The aim of this study was to evaluate predictors of significant TR late after mitral valve surgery.

METHODS: A retrospective analysis was performed on a total of 174 patients who underwent mitral valve surgery without tricuspid valve surgery. Preoperatively, 46 patients (26%) had 2+ TR, and 128 patients (74%) had 1+ or less TR. Postoperative 3+ TR was considered significant TR. Variables were used to evaluate predictors of TR development by univariate or multivariate analysis.

RESULTS: The mean follow-up was 8.2 years (range 1.0 to 14.5 years) after surgery. There was progressive TR (3+ or more) in 28 patients (16%) during the follow-up period. In univariate analysis, atrial fibrillation, rheumatic etiology, huge left atrium, left ventricular dysfunction, and preoperative 2+ TR were significant risk factors for TR development. Multivariate analysis identified preoperative 2+ TR, atrial fibrillation, and huge left atrium as statistically significant predictors for late TR after surgery.

CONCLUSIONS: Aggressive repair of accompanying TR should be undertaken at the time of initial surgery in patients with huge left atrium or atrial fibrillation, even if preoperative TR is 2+.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
J. M. Stulak, H. V. Schaff, J. A. Dearani, T. A. Orszulak, R. C. Daly, and T. M. Sundt III
Restoration of sinus rhythm by the maze procedure halts progression of tricuspid regurgitation after mitral surgery.
Ann. Thorac. Surg., July 1, 2008; 86(1): 40 - 45.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
M. De Bonis, E. Lapenna, F. Sorrentino, G. La Canna, A. Grimaldi, F. Maisano, L. Torracca, and O. Alfieri
Evolution of tricuspid regurgitation after mitral valve repair for functional mitral regurgitation in dilated cardiomyopathy
Eur. J. Cardiothorac. Surg., April 1, 2008; 33(4): 600 - 606.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
K. C. Kim, K. R. Cho, Y.-J. Kim, D.-W. Sohn, and K.-B. Kim
Long-term results of the Cox-Maze III procedure for persistent atrial fibrillation associated with rheumatic mitral valve disease: 10-year experience
Eur. J. Cardiothorac. Surg., February 1, 2007; 31(2): 261 - 266.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. K. Ghanta, R. Chen, N. Narayanasamy, S. McGurk, S. Lipsitz, F. Y. Chen, and L. H. Cohn
Suture bicuspidization of the tricuspid valve versus ring annuloplasty for repair of functional tricuspid regurgitation: Midterm results of 237 consecutive patients
J. Thorac. Cardiovasc. Surg., January 1, 2007; 133(1): 117 - 126.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
G. H. L. Tang, T. E. David, S. K. Singh, M. D. Maganti, S. Armstrong, and M. A. Borger
Tricuspid Valve Repair With an Annuloplasty Ring Results in Improved Long-Term Outcomes
Circulation, July 4, 2006; 114(1_suppl): I-577 - I-581.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
H.-K. Kim, Y.-J. Kim, K.-I. Kim, S.-H. Jo, K.-B. Kim, H. Ahn, D.-W. Sohn, B.-H. Oh, M.-M. Lee, Y.-B. Park, et al.
Impact of the Maze Operation Combined With Left-Sided Valve Surgery on the Change in Tricuspid Regurgitation Over Time
Circulation, August 30, 2005; 112(9_suppl): I-14 - I-19.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
A. Matsunaga and C. M. G. Duran
Progression of Tricuspid Regurgitation After Repaired Functional Ischemic Mitral Regurgitation
Circulation, August 30, 2005; 112(9_suppl): I-453 - I-457.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. M. Bernal, D. Morales, C. Revuelta, J. Llorca, J. Gutierrez-Morlote, and J. M. Revuelta
Reoperations after tricuspid valve repair
J. Thorac. Cardiovasc. Surg., August 1, 2005; 130(2): 498 - 503.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. M. Bernal, J. Gutierrez-Morlote, J. Llorca, J. M. San Jose, D. Morales, and J. M. Revuelta
Tricuspid Valve Repair: An Old Disease, a Modern Experience
Ann. Thorac. Surg., December 1, 2004; 78(6): 2069 - 2074.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2003 by The Society of Thoracic Surgeons.