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Surgical treatment of tricuspid regurgitation after mitral valve surgery: a retrospective study in China
Functional tricuspid regurgitation (TR) occurs in patients with rheumatic mitral valve disease even after mitral valve surgery. The aim of this study was to analyze surgical results of TR after previous successful mitral valve surgery. From September 1996 to September 2008, 45 patients with TR after...
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Published in: | Journal of cardiothoracic surgery 2012-04, Vol.7 (1), p.30-30, Article 30 |
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description | Functional tricuspid regurgitation (TR) occurs in patients with rheumatic mitral valve disease even after mitral valve surgery. The aim of this study was to analyze surgical results of TR after previous successful mitral valve surgery.
From September 1996 to September 2008, 45 patients with TR after previous mitral valve replacement underwent second operation for TR. In those, 43 patients (95.6%) had right heart failure symptoms (edema of lower extremities, ascites, hepatic congestion, etc.) and 40 patients (88.9%) had atrial fibrillation. Twenty-six patients (57.8%) were in New York Heart Association (NYHA) functional class III, and 19 (42.2%) in class IV. Previous operations included: 41 for mechanical mitral valve replacement (91.1%), 4 for bioprosthetic mitral valve replacement (8.9%), and 7 for tricuspid annuloplasty (15.6%).
The tricuspid valves were repaired with Kay's (7 cases, 15.6%) or De Vega technique (4 cases, 8.9%). Tricuspid valve replacement was performed in 34 cases (75.6%). One patient (2.2%) died. Postoperative low cardiac output (LCO) occurred in 5 patients and treated successfully. Postoperative echocardiography showed obvious reduction of right atrium and ventricle. The anterioposterior diameter of the right ventricle decreased to 25.5 ± 7.1 mm from 33.7 ± 6.2 mm preoperatively (P < 0. 05).
TR after mitral valve replacement in rheumatic heart disease is a serious clinical problem. If it occurs or progresses late after mitral valve surgery, tricuspid valve annuloplasty or replacement may be performed with satisfactory results. Due to the serious consequence of untreated TR, aggressive treatment of existing TR during mitral valve surgery is recommended. |
doi_str_mv | 10.1186/1749-8090-7-30 |
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From September 1996 to September 2008, 45 patients with TR after previous mitral valve replacement underwent second operation for TR. In those, 43 patients (95.6%) had right heart failure symptoms (edema of lower extremities, ascites, hepatic congestion, etc.) and 40 patients (88.9%) had atrial fibrillation. Twenty-six patients (57.8%) were in New York Heart Association (NYHA) functional class III, and 19 (42.2%) in class IV. Previous operations included: 41 for mechanical mitral valve replacement (91.1%), 4 for bioprosthetic mitral valve replacement (8.9%), and 7 for tricuspid annuloplasty (15.6%).
The tricuspid valves were repaired with Kay's (7 cases, 15.6%) or De Vega technique (4 cases, 8.9%). Tricuspid valve replacement was performed in 34 cases (75.6%). One patient (2.2%) died. Postoperative low cardiac output (LCO) occurred in 5 patients and treated successfully. Postoperative echocardiography showed obvious reduction of right atrium and ventricle. The anterioposterior diameter of the right ventricle decreased to 25.5 ± 7.1 mm from 33.7 ± 6.2 mm preoperatively (P < 0. 05).
TR after mitral valve replacement in rheumatic heart disease is a serious clinical problem. If it occurs or progresses late after mitral valve surgery, tricuspid valve annuloplasty or replacement may be performed with satisfactory results. Due to the serious consequence of untreated TR, aggressive treatment of existing TR during mitral valve surgery is recommended.</description><identifier>ISSN: 1749-8090</identifier><identifier>EISSN: 1749-8090</identifier><identifier>DOI: 10.1186/1749-8090-7-30</identifier><identifier>PMID: 22490269</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Aged ; Analysis ; Annuloplasty ; Atrial fibrillation ; Cardiac Valve Annuloplasty ; Care and treatment ; China ; Female ; Follow-Up Studies ; Heart ; Heart valve diseases ; Heart Valve Prosthesis Implantation - mortality ; Humans ; Male ; Middle Aged ; Mitral Valve Insufficiency - surgery ; Mitral valve repair ; Mitral Valve Stenosis - surgery ; Mitral valve surgery ; Patient outcomes ; Retrospective Studies ; Rheumatic heart disease ; Rheumatic Heart Disease - surgery ; Treatment Outcome ; Tricuspid regurgitation ; Tricuspid valve insufficiency ; Tricuspid Valve Insufficiency - mortality ; Tricuspid Valve Insufficiency - surgery ; Tricuspid valve replacement</subject><ispartof>Journal of cardiothoracic surgery, 2012-04, Vol.7 (1), p.30-30, Article 30</ispartof><rights>COPYRIGHT 2012 BioMed Central Ltd.</rights><rights>2012 Li et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright ©2012 Li et al; licensee BioMed Central Ltd. 2012 Li et al; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b609t-90048f10986109fd8eacc2b27d3ebd4e72fc4bd2a6bc6b0c9b9540d4e8be0a023</citedby><cites>FETCH-LOGICAL-b609t-90048f10986109fd8eacc2b27d3ebd4e72fc4bd2a6bc6b0c9b9540d4e8be0a023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3348082/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1011467190?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22490269$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Zong-Xiao</creatorcontrib><creatorcontrib>Guo, Zhi-Peng</creatorcontrib><creatorcontrib>Liu, Xiao-Cheng</creatorcontrib><creatorcontrib>Kong, Xiang-Rong</creatorcontrib><creatorcontrib>Jing, Wen-Bin</creatorcontrib><creatorcontrib>Chen, Tie-Nan</creatorcontrib><creatorcontrib>Lu, Wan-Li</creatorcontrib><creatorcontrib>He, Guo-Wei</creatorcontrib><title>Surgical treatment of tricuspid regurgitation after mitral valve surgery: a retrospective study in China</title><title>Journal of cardiothoracic surgery</title><addtitle>J Cardiothorac Surg</addtitle><description>Functional tricuspid regurgitation (TR) occurs in patients with rheumatic mitral valve disease even after mitral valve surgery. The aim of this study was to analyze surgical results of TR after previous successful mitral valve surgery.
From September 1996 to September 2008, 45 patients with TR after previous mitral valve replacement underwent second operation for TR. In those, 43 patients (95.6%) had right heart failure symptoms (edema of lower extremities, ascites, hepatic congestion, etc.) and 40 patients (88.9%) had atrial fibrillation. Twenty-six patients (57.8%) were in New York Heart Association (NYHA) functional class III, and 19 (42.2%) in class IV. Previous operations included: 41 for mechanical mitral valve replacement (91.1%), 4 for bioprosthetic mitral valve replacement (8.9%), and 7 for tricuspid annuloplasty (15.6%).
The tricuspid valves were repaired with Kay's (7 cases, 15.6%) or De Vega technique (4 cases, 8.9%). Tricuspid valve replacement was performed in 34 cases (75.6%). One patient (2.2%) died. Postoperative low cardiac output (LCO) occurred in 5 patients and treated successfully. Postoperative echocardiography showed obvious reduction of right atrium and ventricle. The anterioposterior diameter of the right ventricle decreased to 25.5 ± 7.1 mm from 33.7 ± 6.2 mm preoperatively (P < 0. 05).
TR after mitral valve replacement in rheumatic heart disease is a serious clinical problem. If it occurs or progresses late after mitral valve surgery, tricuspid valve annuloplasty or replacement may be performed with satisfactory results. Due to the serious consequence of untreated TR, aggressive treatment of existing TR during mitral valve surgery is recommended.</description><subject>Adult</subject><subject>Aged</subject><subject>Analysis</subject><subject>Annuloplasty</subject><subject>Atrial fibrillation</subject><subject>Cardiac Valve Annuloplasty</subject><subject>Care and treatment</subject><subject>China</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Heart valve diseases</subject><subject>Heart Valve Prosthesis Implantation - mortality</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mitral Valve Insufficiency - surgery</subject><subject>Mitral valve repair</subject><subject>Mitral Valve Stenosis - surgery</subject><subject>Mitral valve surgery</subject><subject>Patient outcomes</subject><subject>Retrospective Studies</subject><subject>Rheumatic heart disease</subject><subject>Rheumatic Heart Disease - surgery</subject><subject>Treatment Outcome</subject><subject>Tricuspid regurgitation</subject><subject>Tricuspid valve insufficiency</subject><subject>Tricuspid Valve Insufficiency - mortality</subject><subject>Tricuspid Valve Insufficiency - surgery</subject><subject>Tricuspid valve replacement</subject><issn>1749-8090</issn><issn>1749-8090</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1ksuP0zAQxiMEYpeFK0cUiQuXLH7FjjkgVRWPlVbiAJwtP1NXSVxsp1L_exy6lC0siuQ4833-ZWY8VfUSgmsIO_oWMsKbDnDQsAaDR9XlKfD43v6iepbSFgDSYtA-rS4QIhwgyi-rzdc59l7Loc7RyjzaKdfBlQ-v57Tzpo62XxxZZh-mWrpsYz36HMuJvRz2tk5FtvHwrpbFm2NIO6uzX4Q8m0Ptp3q98ZN8Xj1xckj2xd37qvr-8cO39efm9sunm_XqtlEU8NzwkmTnIOAdLYsznZVaI4WYwVYZYhlymiiDJFWaKqC54i0BReiUBRIgfFXdHLkmyK3YRT_KeBBBevErEGIvZMxeD1ZgozFkHFPaOkI55IBpjDiUpJNQMVxY74-s3axGa3RpTqn7DHquTH4j-rAXGJMOdEsyqyNA-fAfwLmiwyiWWxPLrQkmMCiMN3dJxPBjtimL0Sdth0FONsxJQAARKkvbFuvrv6zbMMeptHtxQUJZqfGPq5elCX5yofxaL1CxajHBiDG2sK4fcJXH2NHrMFnnS_yhA7rMQIrWncqEQCyz-m9hr-5392T_PZz4J-Kz5Ks</recordid><startdate>20120410</startdate><enddate>20120410</enddate><creator>Li, Zong-Xiao</creator><creator>Guo, Zhi-Peng</creator><creator>Liu, Xiao-Cheng</creator><creator>Kong, Xiang-Rong</creator><creator>Jing, Wen-Bin</creator><creator>Chen, Tie-Nan</creator><creator>Lu, Wan-Li</creator><creator>He, Guo-Wei</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20120410</creationdate><title>Surgical treatment of tricuspid regurgitation after mitral valve surgery: a retrospective study in China</title><author>Li, Zong-Xiao ; Guo, Zhi-Peng ; Liu, Xiao-Cheng ; Kong, Xiang-Rong ; Jing, Wen-Bin ; Chen, Tie-Nan ; Lu, Wan-Li ; He, Guo-Wei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b609t-90048f10986109fd8eacc2b27d3ebd4e72fc4bd2a6bc6b0c9b9540d4e8be0a023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Analysis</topic><topic>Annuloplasty</topic><topic>Atrial fibrillation</topic><topic>Cardiac Valve Annuloplasty</topic><topic>Care and treatment</topic><topic>China</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Heart valve diseases</topic><topic>Heart Valve Prosthesis Implantation - mortality</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mitral Valve Insufficiency - surgery</topic><topic>Mitral valve repair</topic><topic>Mitral Valve Stenosis - surgery</topic><topic>Mitral valve surgery</topic><topic>Patient outcomes</topic><topic>Retrospective Studies</topic><topic>Rheumatic heart disease</topic><topic>Rheumatic Heart Disease - surgery</topic><topic>Treatment Outcome</topic><topic>Tricuspid regurgitation</topic><topic>Tricuspid valve insufficiency</topic><topic>Tricuspid Valve Insufficiency - mortality</topic><topic>Tricuspid Valve Insufficiency - surgery</topic><topic>Tricuspid valve replacement</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Zong-Xiao</creatorcontrib><creatorcontrib>Guo, Zhi-Peng</creatorcontrib><creatorcontrib>Liu, Xiao-Cheng</creatorcontrib><creatorcontrib>Kong, Xiang-Rong</creatorcontrib><creatorcontrib>Jing, Wen-Bin</creatorcontrib><creatorcontrib>Chen, Tie-Nan</creatorcontrib><creatorcontrib>Lu, Wan-Li</creatorcontrib><creatorcontrib>He, Guo-Wei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Databases</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Journal of cardiothoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Zong-Xiao</au><au>Guo, Zhi-Peng</au><au>Liu, Xiao-Cheng</au><au>Kong, Xiang-Rong</au><au>Jing, Wen-Bin</au><au>Chen, Tie-Nan</au><au>Lu, Wan-Li</au><au>He, Guo-Wei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical treatment of tricuspid regurgitation after mitral valve surgery: a retrospective study in China</atitle><jtitle>Journal of cardiothoracic surgery</jtitle><addtitle>J Cardiothorac Surg</addtitle><date>2012-04-10</date><risdate>2012</risdate><volume>7</volume><issue>1</issue><spage>30</spage><epage>30</epage><pages>30-30</pages><artnum>30</artnum><issn>1749-8090</issn><eissn>1749-8090</eissn><abstract>Functional tricuspid regurgitation (TR) occurs in patients with rheumatic mitral valve disease even after mitral valve surgery. The aim of this study was to analyze surgical results of TR after previous successful mitral valve surgery.
From September 1996 to September 2008, 45 patients with TR after previous mitral valve replacement underwent second operation for TR. In those, 43 patients (95.6%) had right heart failure symptoms (edema of lower extremities, ascites, hepatic congestion, etc.) and 40 patients (88.9%) had atrial fibrillation. Twenty-six patients (57.8%) were in New York Heart Association (NYHA) functional class III, and 19 (42.2%) in class IV. Previous operations included: 41 for mechanical mitral valve replacement (91.1%), 4 for bioprosthetic mitral valve replacement (8.9%), and 7 for tricuspid annuloplasty (15.6%).
The tricuspid valves were repaired with Kay's (7 cases, 15.6%) or De Vega technique (4 cases, 8.9%). Tricuspid valve replacement was performed in 34 cases (75.6%). One patient (2.2%) died. Postoperative low cardiac output (LCO) occurred in 5 patients and treated successfully. Postoperative echocardiography showed obvious reduction of right atrium and ventricle. The anterioposterior diameter of the right ventricle decreased to 25.5 ± 7.1 mm from 33.7 ± 6.2 mm preoperatively (P < 0. 05).
TR after mitral valve replacement in rheumatic heart disease is a serious clinical problem. If it occurs or progresses late after mitral valve surgery, tricuspid valve annuloplasty or replacement may be performed with satisfactory results. Due to the serious consequence of untreated TR, aggressive treatment of existing TR during mitral valve surgery is recommended.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>22490269</pmid><doi>10.1186/1749-8090-7-30</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Analysis Annuloplasty Atrial fibrillation Cardiac Valve Annuloplasty Care and treatment China Female Follow-Up Studies Heart Heart valve diseases Heart Valve Prosthesis Implantation - mortality Humans Male Middle Aged Mitral Valve Insufficiency - surgery Mitral valve repair Mitral Valve Stenosis - surgery Mitral valve surgery Patient outcomes Retrospective Studies Rheumatic heart disease Rheumatic Heart Disease - surgery Treatment Outcome Tricuspid regurgitation Tricuspid valve insufficiency Tricuspid Valve Insufficiency - mortality Tricuspid Valve Insufficiency - surgery Tricuspid valve replacement |
title | Surgical treatment of tricuspid regurgitation after mitral valve surgery: a retrospective study in China |
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