Clinical and echocardiographic outcomes after surgery for severe isolated tricuspid regurgitation

Kim, Joon Bum; Jung, Sung‐Ho; Choo, Suk Jung; Chung, Cheol Hyun; Lee, Jae Won

doi:10.1016/j.jtcvs.2012.04.019

Cited by 118 publications

(62 citation statements)

References 17 publications

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“…We characterized and compared structural heart changes in no/trace TR, mild TR, and moderate/severe TR using cardiac CTA for enhanced cardiac structural measurement. 8,18,[27][28][29][30] Tricuspid Regurgitation: Cardiac Structural Changes Across Tricuspid Regurgitation Severity…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5][6][7] The timing of tricuspid valve surgery is important because patients with TR have anemia, organ dysfunction, and right ventricular (RV) dilatation, which also are associated with poor surgical outcomes. 8 Structural heart changes in severe TR are well described and include tricuspid annular dilation and RV and right atrial (RA) enlargement. Tricuspid annuloplasty has favorable effects on right heart structure, [9][10][11] and early intervention can prevent right heart dilation and TR progression.…”

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confidence: 99%

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Pathogenic structural heart changes in early tricuspid regurgitation

Nemoto

Lesser

Pedersen

et al. 2015

The Journal of Thoracic and Cardiovascular Surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Pathogenic structural heart changes in early tricuspid regurgitation

Nemoto

Lesser

Pedersen

et al. 2015

The Journal of Thoracic and Cardiovascular Surgery

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“…17 In addition, these data are largely derived from the cohorts of patients who underwent the tricuspid valve surgery. [18][19][20][21][22] There are a few reports on the natural history of isolated TR. 4,5 Topilsky et al reported that isolated TR (functional TR with no left-sided valvular disease, no decreased LVEF, and no pulmonary hypertension) significantly affected survival.…”

Section: Discussionmentioning

confidence: 99%

Isolated Tricuspid Regurgitation and Long-Term Outcome in Patients With Preserved Ejection Fraction

et al. 2019

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in 2013 at the physician's discretion. 7-10 Subject selection is shown in Figure 1. We excluded patients with severe or moderate aortic stenosis (n=133), aortic regurgitation (n=133), mitral stenosis (n=9), mitral regurgitation (n=169), severe congenital heart disease or pericardial disease (n=0), or LVEF <50% (n=407) due to the effects of these conditions on TR. The study population consisted of 3,714 patients, who were categorized into 2 groups depending on the presence or absence of moderate to severe TR (Figure 1): the moderate to severe TR group (n=53) and the no moderate to severe TR group (n=3,661). The research protocol was approved by the Institutional Review Board of Kitano Hospital (approval number: P16-02-005). Informed consent was waived due to the retrospective design of the study. We disclosed the details of the present study to the public as an opt-out method and the notice clearly informed patients of their right to refuse enrollment. The study protocol conformed to the ethical guidelines of the 1975 Declaration of Helsinki, as reflected in a priori approval by the institution's Human Research Committee. Patient records and information were anonymized and de-identified before analysis. 7-10

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“…Kim et al recently reported that there was no meaningful difference between TVR and TVr as a treatment for isolated severe TR. 13 This suggests that the clinical outcomes of tricuspid valve surgery are mainly related to preoperative characteristics, not to the type of surgery itself. To date, some studies have already drawn the conclusion that there appears to be no significant difference in clinical outcomes between the 2 approaches, 4,7,8 but the study period ranged from the 1970 s, or the operative mortality was high from the viewpoint of current standard practice.…”

Section: Discussionmentioning

confidence: 99%