Moderate Secondary Tricuspid Regurgitation: Does It Worth More Time to Conserve?

摘要

Background: Concomitant repair of moderate secondary tricuspid regurgitation (STR) during mitral valve surgery is still subject of controverse. This research >> style="font-family:"">aims to >> style="font-family:"">study>> style="font-family:""> the early >> style="font-family:"">and mid-term >> style="font-family:"">postoperative>> style="font-family:""> influence of tricuspid repair>> style="font-family:""> on >> style="font-family:"">the clinical outcomes and>> style="font-family:""> right ventric>> style="font-family:"">ular functions. >> style="font-family:"">Methods: >> style="font-family:"">This is a >> style="font-family:"">retrospective>> style="font-family:""> cohort study of >> style="font-family:"">92>> style="font-family:""> patients with >> style="font-family:"">moderate STR >> style="font-family:"">who>> style="font-family:""> >> style="font-family:"">und>erwent tricuspid valve repair>> style="font-family:""> b>> style="font-family:"">etween >> style="font-family:"">October>> style="font-family:""> 20>> style="font-family:"">14>> style="font-family:""> and>> style="font-family:""> December>> style="font-family:""> 2>> style="font-family:"">017>> style="font-family:"">, in the cardiothoracic surgery department>> style="font-family:"">, Menoufia University Hospital>> style="font-family:"">. Patients were assessed clinically and by echocardiography >> style="font-family:"">at one month>> style="font-family:""> and after >> style="font-family:"">24 months postoperatively>> style="font-family:""> for the degree of tricuspid regurgitation>> style="font-family:""> (TR)>> style="font-family:"">,>> style="font-family:""> >> style="font-family:"">right ventricular diameter >and tricuspid annular plane systolic excursion (TAPSE)>> style="font-family:"">. >> style="font-family:"">Results:>> style="font-family:""> >> style="font-family:"">In this study, >mean a>> style="font-family:"">ge >> style="font-family:"">of patients was >> style="font-family:"">58.33 ± 4.06 years>> style="font-family:"">. We had a significant improvement in the grade of TR from >preoperative period to >follow up data observed at 1-month postoperative and 2-years >follow>> style="font-family:"">->> style="font-family:"">up>> style="font-family:""> (P = 0.0001). After one month postoperatively, no TR was detected in 74 cases (80.4%), and in 71 (84.5%) after two years. Mean right ventricular diameter decr>> style="font-family:"">eased significantly from 23 ± 3.32 mm preoperatively to 21.9 ± 3 mm at 2-years postoperatively. An increase of TAPSE>> style="font-family:""> was>> style="font-family:""> from 19.96 ± 3.7 mm preoperatively to 20.3 ± 3.9 mm at 1-month postoperative (p = 0.55) and there was >significant increase in late postoperative value. >> style="font-family:"">Conclusion:>> style="font-family:""> >> style="font-family:"