2015
DOI: 10.1016/j.jacc.2015.01.059
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Impact of Concomitant Tricuspid Annuloplasty on Tricuspid Regurgitation, Right Ventricular Function, and Pulmonary Artery Hypertension After Repair of Mitral Valve Prolapse

Abstract: In patients with moderate TR or tricuspid annular dilation who were undergoing degenerative mitral repair, concomitant tricuspid annuloplasty is safe, effective, and associated with improved long-term right-sided remodeling. Routine treatment of moderate TR or tricuspid annular dilation at the time of MV repair appears to be beneficial.

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Cited by 280 publications
(199 citation statements)
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“…Decidir el mejor momento para la intervención quirúrgica sigue siendo controvertido, debido a los pocos datos disponibles y su naturaleza heterogénea (véanse la tabla de recomendaciones sobre las indicaciones de cirugía de válvula tricúspide y la figura 6) [156][157][158][159][160] . Para evitar una disfunción irreversible del VD, la cirugía debe realizarse pronto.…”
Section: Indicaciones De La Intervenciónunclassified
See 1 more Smart Citation
“…Decidir el mejor momento para la intervención quirúrgica sigue siendo controvertido, debido a los pocos datos disponibles y su naturaleza heterogénea (véanse la tabla de recomendaciones sobre las indicaciones de cirugía de válvula tricúspide y la figura 6) [156][157][158][159][160] . Para evitar una disfunción irreversible del VD, la cirugía debe realizarse pronto.…”
Section: Indicaciones De La Intervenciónunclassified
“…En la insuficiencia tricuspídea secundaria, la combinación de reparación de la válvula, si está indicada, con la cirugía de lado izquierdo no aumenta el riesgo quirúrgico y se ha demostrado que puede favorecer el remodelado inverso del VD y mejorar el estado funcional, incluso en ausencia de insuficiencia tricuspídea significativa si hay dilatación del anillo 156,157,160 . Por lo tanto, debe considerarse sistemáti-camente en estos casos.…”
Section: Indicaciones De La Intervenciónunclassified
“…When patients who had a normal appearing right ventricle, but a tricuspid annular dimension >40 mm (normal <34 mm), underwent mitral valve surgery and tricuspid valve repair, despite some degree of presumed RV unloading, with a fall in right ventricular systolic pressure from a mean of 38 mmHg to a mean of 29 mmHg, only 30% of the patients had a normal right ventricular ejection fraction postoperatively. Right ventricular function required 3.5-5 years to recover (45). In patients with generally preserved RV ejection fraction and only a load independent sign of right ventricular loss of reserve, a right ventricular end systolic area greater than 20 cm 2 , or another relatively subtle sign of RV impairment, hypersplenism, with a hemoglobin less than 11.3 g/dL, isolated tricuspid valve surgery was associated with a two-year survival in the 44-57% range (2).…”
Section: Prognosismentioning
confidence: 99%
“…Moreover, when patients require reoperation for tricuspid valve dysfunction, a high operative mortality has been observed, mainly due to the irreversible right ventricular systolic or liver dysfunction [5][6][7] . Increasing data now support an early surgical treatment of FTR [8][9][10][11] .…”
Section: Introductionmentioning
confidence: 99%