Echocardiographic-based treatment of functional tricuspid regurgitation
| Autor: | Michele Di Mauro, Antonio M. Calafiore, Rocco Meduri, Salvatore Scandura, Angela L. Iacò, Antonella Romeo, Egidio Varone |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Surgical strategy Untreated group Postoperative Complications Functional tricuspid regurgitation Mitral valve Internal medicine Atrial Fibrillation medicine Tricuspid annulus Humans Aged Treated group Tricuspid valve business.industry Hazard ratio Tricuspid Valve Insufficiency Treatment Outcome medicine.anatomical_structure Echocardiography Cardiology Mitral Valve Female Surgery Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 142:308-313 |
| ISSN: | 0022-5223 |
| Popis: | ObjectivesFunctional tricuspid regurgitation (FTR) worsens over time, and its natural history is unfavorable. An aggressive surgical strategy, using the echocardiographic systolic dimensions of the tricuspid annulus (sysTA), can be helpful to reduce the detrimental late effects of FTR.MethodsFrom March 2006 to February 2008, 298 patients, with at least FTR grade 1+, underwent mitral valve surgery. Of these 298 patients, 167 underwent tricuspid repair (treated group [T], moderate-or-greater FTR in 108 and mild in 59, with sysTA > 24 mm) and 137 did not (untreated group [UT], moderate-or-greater FTR in 16 and mild in 115; 81 with sysTA > 24 mm and 34 with sysTA of ≤ 24 mm). The 256 survivors underwent echocardiographic examination at a mean follow-up of 13 ± 8 months.ResultsPreoperatively, at discharge, and at the follow-up examination, the mean FTR grade was 1.11 ± 0.32, 0.87 ± 0.49, and 1.03 ± 0.57 (P = NS) in the UT group and 2.11 ± 0.92, 0.45 ± 0.36, and 0.48 ± 0.32 (P |
| Databáze: | OpenAIRE |
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