2013
DOI: 10.1253/circj.cj-13-0221
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Fate of Functional Tricuspid Regurgitation After Mitral Valve Repair for Degenerative Mitral Regurgitation

Abstract: Background:The issue of whether functional tricuspid regurgitation (TR) should be repaired at the time of mitral valve surgery is controversial, and the long-term durability of tricuspid valve (TV) annuloplasty remains unknown. Methods and Results:We retrospectively reviewed 654 patients who underwent mitral valve repair for degenerative mitral regurgitation between 1991 and 2010. Preoperative TR was classed as mild, trivial or absent in 479 (73.2%) patients, moderate in 125 (19.1%) patients and severe in 50 (… Show more

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Cited by 19 publications
(18 citation statements)
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“…Previously, we reported the importance of aggressive surgical intervention for FTR in the setting of MVP for degenerative mitral regurgitation. 12 Although mitral procedures, including repair or valve replacement, affect survival and recurrent FTR, these annuloplasty procedures were applied in this series. Patients who required TAP in this series were a high-risk group and had advanced NYHA functional class.…”
Section: Figure 2 Freedom From Recurrent Tricuspid Regurgitation (Trmentioning
confidence: 99%
“…Previously, we reported the importance of aggressive surgical intervention for FTR in the setting of MVP for degenerative mitral regurgitation. 12 Although mitral procedures, including repair or valve replacement, affect survival and recurrent FTR, these annuloplasty procedures were applied in this series. Patients who required TAP in this series were a high-risk group and had advanced NYHA functional class.…”
Section: Figure 2 Freedom From Recurrent Tricuspid Regurgitation (Trmentioning
confidence: 99%
“…7 In accordance with current trends, we are alternatively using a prosthetic ring for TR as an initial surgery as described previously. 8 It has also been used in redo valve surgery at Kobe City Medical Center General Hospital.…”
Section: Discussionmentioning
confidence: 99%
“…To be included in the present study, the following 3 preoperative echocardiographic criteria for severe TR were required: (1) TR jet >30% of the right atrial (RA) area; (2) inadequate cusp coaptation; and (3) systolic flow reversal in the hepatic vein. 7, 8 Inadequate coaptation of the tricuspid valve was determined to be present when the gap between the septal and anterior leaflets of the tricuspid valve that was measured using zoomed images of the modified apical 4-chamber view was visually identified and estimated to be ≥5 mm. Inadequate coaptation was linked to tricuspid annular dilation and apical tethering of the leaflets in all patients.…”
Section: Study Patientsmentioning
confidence: 99%
“…1, 2 In addition, TR development, long after left-sided valve surgery, is closely linked to exercise intolerance and presages a poor outcome, 3-5 even in the absence of left ventricular (LV) dysfunction or pulmonary hypertension. [6][7][8] In this respect, corrective surgery for TR is considered a reliable therapeutic option if it is performed in a timely manner. 3,9- 12 In addition to improvements in symptoms and survival, timely performed corrective TR surgery can cause right ventricular (RV) reverse remodeling.…”
mentioning
confidence: 99%