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Published in: Journal of Cardiothoracic Surgery 1/2012

Open Access 01-12-2012 | Research article

Criteria for determining the need for surgical treatment of tricuspid regurgitation during mitral valve replacement

Authors: Jigang He, Zhenya Shen, Yunsheng Yu, Haoyue Huang, Wenxue Ye, Yinglong Ding, Shaolei Yang

Published in: Journal of Cardiothoracic Surgery | Issue 1/2012

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Abstract

Background

Tricuspid regurgitation (TR) is common in patients with mitral valve disease; however, there are no straightforward, rapidly determinably criteria available for deciding whether TR repair should be performed during mitral valve replacement. The aim of our retrospective study was to identify a simple and fast criterion for determining whether TR repair should be performed in patients undergoing mitral valve replacement.

Methods

We reviewed the records of patients who underwent mitral valve replacement with or without (control) TR repair (DeVega or Kay procedure) from January 2005 to December 2008. Preoperative and 2-year postoperative echocardiographic measurements included right ventricular and atrial diameter, interventricular septum size, TR severity, ejection fraction, and pulmonary artery pressure.

Results

A total of 89 patients were included (control, n = 50; DeVega, n = 27; Kay, n = 12). Demographic and clinical characteristics were similar between groups. Cardiac variables were similar between the DeVega and Kay groups. Right atrium and ventricular diameter and ejection fraction were significantly decreased postoperatively both in the control and operation (DeVega + Kay) group (P < 0.05). Pulmonary artery pressure was significantly decreased postoperatively in-operation groups (P < 0.05). Our findings indicate that surgical intervention for TR should be considered during mitral valve replacement if any of the following preoperative criteria are met: right atrial transverse diameter > 57 mm; right ventricular end-diastolic diameter > 55 mm; pulmonary artery pressure > 58 mmHg.

Conclusions

Our findings suggest echocardiography may be used as a rapid and simple means of determining which patients require TR repair during mitral valve replacement.
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Metadata
Title
Criteria for determining the need for surgical treatment of tricuspid regurgitation during mitral valve replacement
Authors
Jigang He
Zhenya Shen
Yunsheng Yu
Haoyue Huang
Wenxue Ye
Yinglong Ding
Shaolei Yang
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2012
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/1749-8090-7-27

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