Effects of Preoperative Tricuspid Valve Diameters on Early Postoperative Surgical Outcomes in Patients Undergoing Tricuspid Valve Surgery
DOI:
https://doi.org/10.1532/hsf.1842Keywords:
Valvular annuloplasty, tricuspid valve regurgitation, Heart Surgical ProcedureAbstract
Background: Many of the previous studies on tricuspid valve surgery were on the materials that were used and the advantages and disadvantages of them. In this study, effects of preoperative tricuspid valve diameter on early postoperative outcomes were investigated.
Methods: A total of 43 patients who underwent tricuspid valve repair surgery with the ring between the years 2012-2014 were included in this study. Tricuspid valve diameters and other cardiac functions of patients undergoing tricuspid intervention were evaluated with transthoracic echocardiography.
Patients included in this study were divided into 2 groups: those with minimal, minimal-to-1st degree and 1st-degree tricuspid valve regurgitation found on thoracic echocardiography in the early postoperative period were considered as having a successful tricuspid repair (Group 1). Those with 1st-2nd degree and higher degrees of tricuspid regurgitation were considered as having an unsuccessful tricuspid repair (Group 2).
The relationship between tricuspid valve dimensions and early tricuspid valve regurgitation was assessed with the help of preoperative, intraoperative, and postoperative data.
Results: Thirty patients (Group 1) were found to have a successful tricuspid valve repair in the postoperative period. The mean annulus diameter of the tricuspid valve at end-diastole in patients from Group 1 was similar to Group 2 (4.24 ± 0.44 cm versus 3.99 ± 0.40; P = .080). Also, tricuspid valve end-systolic diameter in Group 1 was similar to patients in Group 2 (3.59 ± 0.38 cm versus 3.42 ± 0.33 cm; P = .151).
Conclusion: A direct relationship was not found between tricuspid valve diameter and post-operative development of moderate to severe regurgitation in tricuspid valve surgery in this study.
References
Antunes J, Barlow JB. 2007. Management of tricuspid valve regurgitation. Manuel Heart 93:271-6.
Colombo T, Russo C, Ciliberto GR, Lanfranconi M, Bruschi G, et al. 2001. Tricuspid regurgitation secondary to mitral valve disease: tricuspid annulus function as guide to tricuspid valve repair. Vascular 9:369-77.
Desai RR, Abello LMV, Klein AL, et al. 2013. Tricuspid regurgitation and right ventricular function after mitral valve surgery with or without concomitant tricuspid valve procedure. J Thorac Cardiovasc Surg 146:1126-32
Dreyfus GD, Corbi PJ, John Chan KM, Toufan B. 2005. Secondary tricuspid regurgitation or dilatation: which should be the criteria for surgical repair? Ann Thorac Surg 79:127-32.
Dreyfus GD, John Chan KM. 2009. Functional regurgitation: a more complex entity than it appears. Heart 95:868-9.
John C, Mustafa Z, Emre A, Prakash PP. 2009. Tricuspid valve disease: pathophysiology and optimal management. Cardio Dis 51:482-6.
Kay JH, Maselli CG, Tusju HK. 1965. Surgical treatment of tricuspid insufficiency. Ann Surg 162:53-8.
Lang RM, Bierig M, Devereux RB, et al. 2006. Recommendations for chamber quantification. Eur J Echocardiogr 7:79-108.
Lang RM, Bierig M, Devereux RB, et al. 2015. Recommendations for chamber quantification: a report from the American Society of Echocardiography’s Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiograph 18:1440-63
Nurözler F. 2000. Tricuspid kapak tamirinde cosgrove-edwards anuloplasti ringi kullanimi. Turk gogus kalp dama 8:576-8.
Shahzad RG, Dreyfus GD. 2010. Basis for intervention on functional tricuspid regurgitation. Seminars in Thorac Cardiovasc Surg 22:79-83.
Shiran A, Sagie A. 2009. Tricuspid regurgitation in mitral valve disease: incidence, prognostic implications, mechanism, and management. J Am Coll Cardiol 53:401-8.
Ubago JL, Figueroa A, Ochoteco A. 1983. Analysis of the amount of tricuspid valve annular dilatation required to produce functional tricuspid regurgitation. Am J Cardiol 52:155-8.
