Document Detail

Mild to moderate functional tricuspid regurgitation: retrospective comparison of surgical and conservative treatment.
MedLine Citation:
PMID:  20811608     Owner:  NLM     Status:  In-Data-Review    
Background. Unoperated severe tricuspid regurgitation (TR) leads to the right ventricle (RV) failure. We wanted to determine if there was near-term postoperative progression of noncorrected mild to moderate functional TR in patients who underwent mitral valve surgery for chronic significant mitral regurgitation (MR) and if RV size and function were affected. Methods and Results. We compared two groups of patients retrospectively. In the first group (TVA+, n = 45), tricuspid valve annuloplasty (TVA) had been performed in conjunction with either mitral valve replacement (MVR) or mitral valve repair (MVP). The second group (TVA-, n = 22) underwent MVP or MVR without TVA. TVA+ group revealed a significant decrease in TR and right ventricle diameter. In the TVA- group, 7 patients (32%) showed a significant progression, by one or more grades, of noncorrected TR together with dilatation and decreased ejection fraction of the right ventricle. Conclusions. Tricuspid annuloplasty performed concurrently with MVP or MVR can prevent subsequent progression of tricuspid regurgitation along with right ventricular dilatation and systolic dysfunction in the near-term postoperative period.
Michal Smíd; Jakub Cech; Richard Rokyta; Patrik Roucka; Tomás Hájek
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Publication Detail:
Type:  Journal Article     Date:  2010-08-02
Journal Detail:
Title:  Cardiology research and practice     Volume:  2010     ISSN:  2090-0597     ISO Abbreviation:  Cardiol Res Pract     Publication Date:  2010  
Date Detail:
Created Date:  2010-09-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101516542     Medline TA:  Cardiol Res Pract     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  -    
Department of Internal Medicine, University Hospital and Medical Faculty Pilsen, Charles University Prague, alej Svobody 80, 304 60 Pilsen, Czech Republic.
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