PMID: 8787464Dec 1, 1995Paper

Atrioventricular valve insufficiency and atrial geometry after orthotopic heart transplantation

The Annals of Thoracic Surgery
R De SimoneS Hagl

Abstract

The etiology of tricuspid and mitral valve regurgitation (TR and MR) after heart transplantation is still controversial. We studied 25 patients undergoing transplantation and intraoperative transesophageal echocardiography to evaluate the incidence, the degree, and the cause of TR and MR. The degree of valve regurgitation was assessed by color Doppler echocardiography. Cross-sectional areas of the recipient (R) and donor (D) portions of the atria and their ratio (R/D) were measured to assess the distortion of atrial geometry. Tricuspid and mitral valve annuli, their systolic shortening, and hemodynamic indices were measured preoperatively and perioperatively. Tricuspid valve regurgitation was found in 21 of 25 patients (84%) and MR in 12 of 25 (48%). The degree of MR was mild, whereas TR was mild to moderate. Mitral valve regurgitation did not show any correlation with the studied indices; TR showed no correlation with the hemodynamic indices but a significant correlation with R/D ratio (r = 0.90; standard error of the estimate = 0.2). An inverse correlation was found between the degree of TR and systolic shortening of tricuspid annulus (r = -0.88; standard error of the estimate = 0.03) and between R/D ratio and systolic shorte...Continue Reading

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Citations

Jan 5, 2001·Current Treatment Options in Cardiovascular Medicine·S V Raman, C F Wooley
Apr 10, 1999·The Annals of Thoracic Surgery·R De SimoneS Hagl
Jun 8, 2002·Archives of Biochemistry and Biophysics·Giuseppe ArientiCarlo Alberto Palmerini
Jun 17, 2000·Transplantation Proceedings·M VaturiA Sagie
Jan 1, 1998·Transplantation Proceedings·G B LucianiA Mazzucco
Apr 30, 2002·Current Problems in Cardiology·Subha V RamanCharles F Wooley
Nov 26, 2003·Journal of Reproductive Immunology·Will Wei-Cheng Chiu, Lawrence William Chamley
Aug 29, 1997·Biochimica Et Biophysica Acta·G ArientiC A Palmerini
Nov 14, 1998·Biochimica Et Biophysica Acta·G ArientiC A Palmerini
Apr 29, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·R De SimoneS Hagl
Jul 13, 2001·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·M C ChanS A Hunt
Jun 11, 1999·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·A D BainbridgeS R Large
Oct 26, 2012·Journal of Transplantation·Yaniv BergerJacob Lavee
Jul 2, 2002·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H LangC E Broelsch
Sep 1, 2004·The Annals of Thoracic Surgery·Valluvan JeevanandamJaishankar Raman
Jul 27, 1999·The Annals of Thoracic Surgery·M Vigano'A M Grande
Aug 9, 2016·Transplantation Proceedings·T UrbanowiczM Jemielity
Nov 28, 2006·The Annals of Thoracic Surgery·Valluvan JeevanandamJaishankar Raman
Aug 1, 2009·Asian Cardiovascular & Thoracic Annals·Masaharu YoshikawaYuichi Ueda
Feb 13, 2013·Nature Reviews. Cardiology·Sung Ho Shinn, Hartzell V Schaff

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