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Right arrow Transplantation - heart

Ann Thorac Surg 2004;78:1642-1643
© 2004 The Society of Thoracic Surgeons

INVITED COMMENTARY

Francis D. Pagani, MD, PhD

Section of Cardiac Surgery University of Michigan Health System 2120 Taubman Center Box 0348 1500 East Medical Center Dr Ann Arbor, MI 48109 USA

fpagani@umich.edu

The first 20% of the full text of this article appears below.

Anderson and colleagues have provided us with a thoughtful retrospective study describing the significance of tricuspid regurgitation (TR) detected by intraoperative transesophageal echocardiography at the time of orthotopic heart transplantation in 130 patients over a 10-year period. The authors have demonstrated that mild or greater (≥2+) degrees of TR were associated with poor posttransplant survival.

Obviously there are significant limitations in any retrospective study, and the authors have clearly recognized and acknowledged the areas of greatest concern. In particular, it is well known that the use of transesophageal echocardiography has limitations in accurately assessing the degree of TR and degree of right ventricular (RV) dysfunction. The ability to quantify TR is albeit, better . . . [Full Text of this Article]






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