Clinical and hemodynamic influences of prophylactic tricuspid annuloplasty in mechanical mitral valve replacement

The Journal of Thoracic and Cardiovascular Surgery
Heemoon LeePyo Won Park

Abstract

The aim of this study was to evaluate the long-term clinical and hemodynamic influences of prophylactic tricuspid annuloplasty (TAP) in patients with less-than-moderate tricuspid regurgitation (TR) who underwent mitral valve replacement (MVR). Between November 1994 and December 2010, 293 patients with less-than-moderate TR who underwent primary mechanical MVR were categorized into 2 groups: TAP (n = 151) or no TAP (n = 142). The median age was 51 years (quartile (Q)1-Q3, 43-59 years). The cause of valve pathology was rheumatic in 92.5% of patients (n = 271). The prevalence of preoperative atrial fibrillation was in 73.0%. Using propensity score matching based on demographic information, 91 TAP patients could be matched to 91 no TAP patients. Median follow-up duration was 107 months (Q1-Q3, 76-162 months). There was no early mortality in either group. Early morbidities, including heart block were not different between groups. Although overall survival and freedom from cardiac-related mortality did not differ between groups (P = .519 and P = .115, respectively), freedom from recurrence of moderate or higher TR grade were significantly higher in the TAP group (P = .043). In subgroup analyses, these group differences of TAP were es...Continue Reading

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Citations

Dec 15, 2015·The Journal of Thoracic and Cardiovascular Surgery·J Hunter Mehaffey, Irving L Kron
Nov 28, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jae Woong ChoiHo Young Hwang
Aug 6, 2020·Journal of Cardiothoracic Surgery·Ayse CetinkayaManfred Richter
Oct 3, 2018·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·R JansenJ Kluin
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Oct 5, 2020·General Thoracic and Cardiovascular Surgery·Tomoki SakataYoshiharu Takahara
Oct 14, 2020·The Korean Journal of Thoracic and Cardiovascular Surgery·Jae Woong ChoiHo Young Hwang
Oct 2, 2020·The Annals of Thoracic Surgery·Heemoon LeePyo Won Park
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Jun 23, 2021·The Journal of Thoracic and Cardiovascular Surgery·Wan Kee KimJae Won Lee
Oct 19, 2020·JACC. Cardiovascular Interventions·Simon DeseiveJörg Hausleiter
Oct 8, 2019·The Annals of Thoracic Surgery·Jacob Y CaoPaul G Bannon

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