Mitral valve surgery for functional mitral regurgitation: prognostic role of tricuspid regurgitation☆

Mauro, Michele Di; Bivona, Antonio; Iacò, Angela L.; Contini, Marco; Gagliardi, Massimo; Varone, Egidio; Gallina, Sabina; Calafiore, Antonio M.

doi:10.1016/j.ejcts.2008.12.040

Cited by 70 publications

(30 citation statements)

References 23 publications

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“…Moderate TR. Moderate TR is associated with poorer long-term survival (4,25,43). Because of the difficulties in predicting the patients in whom moderate regurgitation will resolve or progress after left-sided heart surgery, the systematic repair of a moderately regurgitant TV during MV surgery should be considered, especially in cases of dilated TA.…”

Section: Surgical Management Of Secondary Tricuspid Regurgitationmentioning

confidence: 98%

The Growing Clinical Importance of Secondary Tricuspid Regurgitation

Taramasso

Vanermen

Maisano

et al. 2012

Journal of the American College of Cardiology

248

120

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Functional or secondary tricuspid regurgitation (STR) is the most frequent etiology of tricuspid valve pathology in Western countries. Surgical tricuspid repair has been avoided for years, because of the misconception that tricuspid regurgitation should disappear once the primary left-sided problem is treated; this results in a large number of untreated patients with STR. Over the past few years, many investigators have reported evidence in favor of a more aggressive surgical approach to STR. Consequently, interest has been growing in the physiopathology and treatment of STR. The purpose of this review is to explore the anatomical basis, pathophysiology, therapeutic approach, and future perspectives with regard to the management of STR.

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Section: Surgical Management Of Secondary Tricuspid Regurgitationmentioning

confidence: 98%

The Growing Clinical Importance of Secondary Tricuspid Regurgitation

Taramasso

Vanermen

Maisano

et al. 2012

Journal of the American College of Cardiology

248

120

View full text Add to dashboard Cite

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“…Thirty-six studies were potentially eligible and after being full-text screened, 11 publications [17,18,19,20,21,22,23,24,25,26,27] were eligible for our meta-analysis. The characteristics of these 11 studies are listed in table 1.…”

Section: Resultsmentioning

confidence: 99%

Preoperative Risk Factors for Residual Tricuspid Regurgitation after Isolated Left-Sided Valve Surgery: A Systematic Review and Meta-Analysis

et al. 2014

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Objectives: Residual tricuspid regurgitation (TR) that has developed after isolated left-sided valve surgery is not uncommon. Indications for concomitant tricuspid repair at the initial operation have not been well established. The selection of high-risk preoperative patients is of great importance in this situation. Methods: Six databases were searched to access eligible articles reporting potential risk factors for the development of residual TR. The pooled analysis of risk factors was based on odds ratios or mean differences with their 95% confidence intervals. Results: A total of 3,138 patients with 487 residual TR in 11 studies were analyzed. Of the 14 candidate parameters in our meta-analysis, 10 factors, i.e. older age, female gender, atrial fibrillation, rheumatic etiology, mitral valve surgery, previous valve surgery, a long time from onset to surgery, 2+/3+ TR and enlarged left and right atria, were found to be significantly associated with the development of residual TR. Conclusions: Our study highlights the role of the above preoperative risk factors in the development of residual TR after isolated left-sided valve surgery and emphasizes the need of further studies to investigate other potential predictors. Moreover, predictive models or scoring systems for the identification of patients at a high risk for developing late TR are urgently needed.

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“…Residual TR is associated with a 2-fold risk of heart failure 1 and a 50% decrease in 5-year survival. 2 Residual TR is also progressive, with one-half of all patients having progression by more than 2 grades 5 years after surgery. 3 In addition, isolated TV surgery for TR is associated with unacceptably high morbidity and mortality after mitral valve (MV) surgery.…”

mentioning

confidence: 98%

“Forgotten” valve or “enigmatic” valve? Further insights into the tricuspid valve in patients undergoing mitral valve surgery

Borger

2014

The Journal of Thoracic and Cardiovascular Surgery

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Mitral valve surgery for functional mitral regurgitation: prognostic role of tricuspid regurgitation☆

Abstract: Patients with untreated moderate-or-more FTR had survival and survival in NYHA class I-II lower than patients with untreated less-than-moderate FTR at 5-year follow-up.

Cited by 70 publications

References 23 publications

The Growing Clinical Importance of Secondary Tricuspid Regurgitation

The Growing Clinical Importance of Secondary Tricuspid Regurgitation

Preoperative Risk Factors for Residual Tricuspid Regurgitation after Isolated Left-Sided Valve Surgery: A Systematic Review and Meta-Analysis

“Forgotten” valve or “enigmatic” valve? Further insights into the tricuspid valve in patients undergoing mitral valve surgery

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