Tricuspid regurgitation severity after atrial septal defect closure or pulmonic valve replacement
| Autor: | Darryl F. Shore, Anselm Uebing, Maria Boutsikou, Konstantinos Dimopoulos, Ana Martín-García, Pedro L. Sánchez, Michael A. Gatzoulis, Rafael Alonso-Gonzalez, Lorna Swan, Agustín C. Martín-García, Sonya V. Babu-Narayan, Wei Li, Aleksander Kempny |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Heart disease Population Heart Valve Diseases Regurgitation (circulation) Severity of Illness Index Heart Septal Defects Atrial Internal medicine medicine Humans Cardiac Surgical Procedures education Retrospective Studies Tetralogy of Fallot Heart Valve Prosthesis Implantation Pulmonary Valve education.field_of_study Tricuspid valve business.industry Middle Aged medicine.disease Tricuspid Valve Insufficiency Cardiac surgery Catheter medicine.anatomical_structure Ventricle Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heart. 106:455-461 |
| ISSN: | 1468-201X 1355-6037 |
| Popis: | ObjectivesCardiac surgery or catheter interventions are nowadays commonly performed to reduce volume loading of the right ventricle in adults with congenital heart disease. However, little is known, on the effect of such procedures on pre-existing tricuspid regurgitation (TR). We assessed the potential reduction in the severity of TR after atrial septal defect (ASD) closure and pulmonic valve replacement (PVR).MethodsDemographics, clinical and echocardiographic characteristics of consecutive patients undergoing ASD closure or PVR between 2005 and 2014 at a single centre who had at least mild preoperative TR were collected and analysed.ResultsOverall, 162 patients (mean age at intervention 41.6±16.1 years, 38.3% male) were included: 101 after ASD closure (61 transcatheter vs 40 surgical) and 61 after PVR (3 transcatheter vs 58 surgical). Only 11.1% received concomitant tricuspid valve surgery (repair). There was significant reduction in the severity of TR in the overall population, from 38 (23.5%) patients having moderate or severe TR preoperatively to only 11 (6.8%) and 20 (12.3%) at 6 months and 12 months of follow-up, respectively (McNemar pConclusionsASD closure and PVR are associated with a significant reduction in tricuspid regurgitation, even among patients who do not undergo concomitant tricuspid valve surgery. |
| Databáze: | OpenAIRE |
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