Impact of concomitant tricuspid annuloplasty on right ventricular remodeling in patients with rheumatic mitral valve disease

Autor: Yue Zhong, Wenjuan Bai, Hui Wang, Hong Qian, Li Rao
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Cardiovascular Ultrasound, Vol 19, Iss 1, Pp 1-11 (2021)
Druh dokumentu: article
ISSN: 1476-7120
DOI: 10.1186/s12947-021-00245-2
Popis: Abstract Background Studies on the management of functional tricuspid regurgitation (TR) during mitral valve operations have drawn inconsistent conclusions. This study was designed to compare the treatment strategy of concomitant tricuspid annuloplasty (TAP) against isolated mitral valve replacement (MVR) in rheumatic mitral valve disease patients, and to assess the effect of concomitant TAP on postoperative right ventricular (RV) remodeling and function. Methods One hundred-seventy patients with rheumatic mitral valve disease receiving MVR were categorized into TAP group (n = 124) and non-TAP group (n = 46). Clinical and echocardiographic data were collected preoperatively and at 1-year follow-up. Three-dimensional echocardiographic indices of RV geometry and function were analyzed. Results At baseline, concomitant TAP group had larger RV end-diastolic volume, more decreased RV ejection fraction and RV longitudinal strain than non-TAP group (all P
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