Impact of Isolated Tricuspid Valve Repair on Right Ventricular Remodelling in an Adult Congenital Heart Disease Population

Frontiers in Cardiovascular Medicine
Roberto MarsicoMassimo Caputo

Abstract

Surgical repair of isolated congenital tricuspid valve (TV) disease is rare with no well-defined indication and outcomes. Moreover, the role of right ventricle (RV) in this context has not yet been investigated. We sought to assess the impact of congenital TV repair on cardiac remodelling and clinical-functional status and the importance of the RV function in an adult congenital heart disease (ACHD) population. From January 2005 to December 2015, 304 patients underwent TV surgery in our centre. Of these, 27 (ACHD) patients had isolated TV repair. Patients were evaluated with preoperative and postoperative transthoracic echocardiogram. Survival rate has been investigated with a mean clinical follow-up (FU) of 3.7 ± 2.3 years, whereas the mean echocardiographic FU was 2.9 ± 1.8 years. The clinical and functional status of patients showed a statistically significant improvement after the surgical repair in terms of New York Heart Association class (66.7 vs 7.4%; p < 0.01), clinical signs of heart failure (29.6 vs 7.4%; p < 0.01), and left ventricular function (14.8 vs 7.4%; p < 0.01). The RV and right atrium diameter were significantly reduced after surgery (5.15 ± 1.21 vs 4.32 ± 1.16; p < 0.01) and (44.7 ± 16.7 vs 26.7 ± 9.2; p <...Continue Reading

References

Mar 6, 2004·The Journal of Thoracic and Cardiovascular Surgery·Patrick M McCarthyEugene H Blackstone
Mar 12, 2004·Journal of the American College of Cardiology·Jayant NathPaul A Heidenreich
Nov 17, 2009·Journal of the American College of Cardiology·Carole A Warnes
Dec 17, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Jeong-Woo LeeJae-Kwan Song
Aug 31, 2010·European Heart Journal·Helmut BaumgartnerUNKNOWN ESC Committee for Practice Guidelines (CPG)
Oct 12, 2011·Circulation·A C ZomerB J M Mulder
Mar 20, 2012·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Jose Pedro da Silva, Luciana da Fonseca da Silva
Sep 4, 2012·The Journal of Thoracic and Cardiovascular Surgery·Bettina PfannmüllerFriedrich W Mohr
Oct 30, 2012·Heart, Lung & Circulation·Jayashree RaikhelkarCorey Scurlock
Oct 3, 2013·The Journal of Thoracic and Cardiovascular Surgery·Sameh M SaidHartzell V Schaff
Sep 4, 2014·F1000prime Reports·Michele De BonisOttavio Alfieri
Aug 26, 2016·Pediatric Cardiology·Jiri KobrZbynek Tonar

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Software Mentioned

R Foundation for Statistical Computing
R

Related Concepts

Related Feeds

Cardiac Remodeling

Cardiac remodeling in response to a myocardial infarction is characterized by progressive ventricular dilatation, cardiac hypertrophy, fibrosis, and deterioration of cardiac performance. Discover the latest research on Cardiac Remodeling here.