Tricuspid annulus diameter does not predict the development of tricuspid regurgitation after mitral valve repair for mitral regurgitation due to degenerative diseases

The Journal of Thoracic and Cardiovascular Surgery
Tirone E DavidCedric Manlhiot

Abstract

Heart valve surgery guidelines suggest that tricuspid valve annuloplasty may be beneficial in patients with a tricuspid annulus (TA) ≥40 mm even in the absence of functional tricuspid regurgitation (TR) at the time of surgery for left-sided valve lesions (class 2a). Given the broad spectrum of degenerative diseases that affect the atrioventricular valves, we hypothesize that this measurement might not be predictive of TR after mitral valve (MV) repair. The diameter of the TA was measured preoperatively in a cohort of 312 consecutive patients who had isolated MV repair for degenerative diseases. The mean TA diameter was 36 mm (95% confidence interval [CI], 35-37 mm). TA ≥40 mm was present in 80 patients. The median duration of echocardiographic follow-up was 6.7 years (interquartile range, 5.4-8.4 years), and was 100% complete. The main study endpoint was postoperative TR of moderate or greater degree. Thirty patients had new or persistent TR at some point during follow-up. The probability of postoperative TR at 7 years was 6.6% (95% CI, 4.6%-9.4%) for all patients, 6.8% (95% CI, 4.6%-10.4%) for TA <40 mm, and 6.0% (95% CI, 2.9%-12.2%) for TA ≥40 mm. Preoperative TA diameter was not associated with the odds of postoperative TR i...Continue Reading

Citations

Nov 2, 2018·Seminars in Cardiothoracic and Vascular Anesthesia·Sharon L McCartneyAlina Nicoara
Mar 14, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Christos Tourmousoglou
May 30, 2020·Asian Cardiovascular & Thoracic Annals·Tirone E David
Mar 9, 2019·Interactive Cardiovascular and Thoracic Surgery·Derrick Y TamStephen E Fremes
Apr 18, 2020·European Heart Journal·Benjamin EssayaghMaurice Enriquez-Sarano
Feb 23, 2019·Seminars in Cardiothoracic and Vascular Anesthesia·Nirvik PalMiklos D Kertai
Jul 10, 2019·European Heart Journal. Quality of Care & Clinical Outcomes·Kevin M VeenJohanna J M Takkenberg
Oct 17, 2020·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Tirone E David
Feb 18, 2020·The Journal of Thoracic and Cardiovascular Surgery·Tomasz A Timek
Nov 12, 2020·Seminars in Thoracic and Cardiovascular Surgery·Ari A Mennander
Sep 15, 2020·Circulation Journal : Official Journal of the Japanese Circulation Society·Chisato IzumiUNKNOWN Japanese Circulation Society Joint Working Group
Nov 27, 2020·The Annals of Thoracic Surgery·Khaled D AlgarniAmr A Arafat
Jun 28, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Kinjal M PatelSandeep Krishnan
Nov 6, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Nikolaos BonarosLudwig Mueller

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