Degree of right ventricular dysfunction dictates outcomes after tricuspid valve repair concomitant with left-side valve surgery
| Autor: | Amr A. Arafat, Khaled D. Algarni, Juan J. Alfonso, Abdelhameed Elsayed, Hatim Kheirallah, Abdulaziz Alhossan, Abdulaziz D. Algarni, Turki B. Albacker |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Ejection fraction business.industry Retrospective cohort study General Medicine 030204 cardiovascular system & hematology Cardiac surgery 03 medical and health sciences 0302 clinical medicine Blood pressure Cardiothoracic surgery Internal medicine Concomitant medicine.artery Pulmonary artery medicine Clinical endpoint Cardiology Surgery 030212 general & internal medicine Cardiology and Cardiovascular Medicine business |
| Zdroj: | General Thoracic and Cardiovascular Surgery. 69:911-918 |
| ISSN: | 1863-6713 1863-6705 |
| Popis: | The effect of different degrees of right ventricular (RV) dysfunction on long-term outcomes after tricuspid valve repair is the subject of ongoing research. We sought to evaluate the effect of preoperative RV dysfunction on mortality and recurrence of tricuspid regurgitation (TR) after tricuspid valve repair for secondary TR concomitant with left-side valve surgery. This is a retrospective study, including 548 patients who underwent repair of secondary TR (2009–2017) at a single institution. Patients were grouped according to preoperative right ventricular (RV) systolic function into three groups; normal RV function (group 1, n = 451), mild RV dysfunction (group 2, n = 60) and moderate/severe RV dysfunction (group 3, n = 37). Study endpoints were mortality and recurrence of TR. Group 3 was associated with the highest hospital mortality (10.2%, p = .06). Predictors of moderate or higher grade TR were NYHA class (HR 2.1, p = 0.03); preoperative TR grade (HR 1.9, p |
| Databáze: | OpenAIRE |
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