|
|
||||||||
Ann Thorac Surg 2003;75:1826-1828
© 2003 The Society of Thoracic Surgeons
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:
![]() |
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] |
||||
![]() |
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] |
||||
![]() |
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] |
||||
![]() |
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] |
||||
![]() |
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] |
||||
![]() |
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] |
||||
![]() |
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] |
||||
![]() |
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] |
||||
![]() |
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 |