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The risk factors of the early postoperative residual tricuspid regurgitation after concomitant thoracoscopic tricuspid valve repair
- Source :
- Journal of Cardiac Surgery. 36:3034-3039
- Publication Year :
- 2021
- Publisher :
- Hindawi Limited, 2021.
-
Abstract
- OBJECTIVE Secondary tricuspid regurgitation will be aggravated if left uncorrected during the initial surgery. Recently, an aggressive strategy of routine concomitant tricuspid valve repair has been warranted. Follow this strategy, routine concomitant thoracoscopic tricuspid valve repair was performed and the surgical effect and postoperative residual TR were reviewed. METHODS A two-center, retrospective, observational study was conducted. Patients who underwent concomitant thoracoscopic tricuspid valve repair performed by the same surgeon between May 2012 to April 2020 were recruited into the study. The data were collected from the hospital database and outpatient records from the most recent follow-up to analysis. RESULTS There were 504 patients recruited in this study. No death occurred and all patients were discharged. The average follow-up time was 7.4 ± 7.5 months. After the surgery, the dimension of right ventricle and pulmonary artery systolic pressure were reduced significantly. There were 11 cases (2.2%) of postoperative residual tricuspid regurgitation. Multiple logistic regression analysis revealed left atrial dimension (p = .002) and tricuspid regurgitation (p = .002) positively associated with the residual tricuspid regurgitation occurrence rate significantly. Kaplan-Meier analysis indicated the more severe the tricuspid regurgitation, the higher the residual tricuspid regurgitation occurrence rate (p
- Subjects :
- Pulmonary and Respiratory Medicine
congenital, hereditary, and neonatal diseases and abnormalities
medicine.medical_specialty
Regurgitation (circulation)
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Risk Factors
medicine.artery
medicine
Minimally invasive cardiac surgery
Humans
cardiovascular diseases
Cardiac Surgical Procedures
TRICUSPID VALVE REPAIR
Risk factor
Retrospective Studies
Heart Valve Prosthesis Implantation
business.industry
Tricuspid Valve Insufficiency
Surgery
Treatment Outcome
Blood pressure
medicine.anatomical_structure
030228 respiratory system
Ventricle
Concomitant
Pulmonary artery
cardiovascular system
Tricuspid Valve
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15408191 and 08860440
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiac Surgery
- Accession number :
- edsair.doi.dedup.....9220ff7ec396c563dcfdce3431ade4b4