EARLY OUTCOMES OF TRICUSPID VALVE REPAIR FOR FUNCTIONAL MODERATE TRICUSPID REGURGITATION IN PATIENTS UNDERGOING POST-RHEUMATIC MITRAL VALVE SURGERY

Tran Thuc Khang , Bui Duc Phu

Main Article Content

Abstract

Background: The purpose of the study was to compare the early results of tricuspid valve repair versus
non-repair for moderate functional tricuspid regurgitation in patients undergoing post-rheumatic mitral valve surgery.


Methods: From march 2011 to march 2012, 48 patients having post-rheumatic mitral valve disease associated with moderate functional tricuspid regurgitation (1.5/4 to 2.5/4) underwent operation. The entire population was divided into two groups, group I: 22 patients having mitral valve replacement associated with tricuspid valve repair with Teflon band, and group II: 26 patients undergoing only mitral valve replacement.
Results: There was a significant difference in tricuspid regurgitation improvement between two groups at 6 month follow – up. Post-operatively, there were 21 cases having no tricuspid regurgitation (grade ≤ ¼ in group I (95.4%), while in group II there were only 30.8% of cases with no tricuspid regurgitation, 1 case being worse (3.8%) and 46.1% of patients with unimproved tricuspid regurgitation. There were no differences in morbidity between two groups, and no hospital mortality.


Conclusions: Moderate functional tricuspid regurgitation does not regress spontaneously after postrheumatic mitral valve replacement.

Article Details

References

1. Anyanwu A.C., Chikwe J., Adams D.H., Tricuspid Valve Repair for Treatment and prevention of Secondary Tricuspid Regurgitation in Patients Undergoing Mitral Valve Surgery. Current Cardiology Reports 2008, 10:110–117
2. Kuwaki K., Morishita K., Tsukamoto M., Abe T. Tricuspid valve surgery for functional tricuspid valve regurgitation associated with left-sided valvular disease. Eur J Cardiothorac Surg 2001;20:577-582
3. Matsuyama K., Matsumoto M., Sugita T., et al. Predictors of Residual Tricuspid Regurgitation After Mitral Valve Surgery. Ann Thorac Surg 2003;75: 1826 – 8
4. Nishimura R.A., Carabello B.A., Faxon D.P., et al. 2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease. Journal of the American College of Cardiology, Vol. 52, No.13,2008: e1–142
5. Park C.K., Park P.W., Sung K., et al. Early and Midterm Outcomes for Tricuspid Valve Surgery After Left-Sided Valve Surgery. Ann Thorac Surg 2009;88:1216-1223
6. Shiran A., Sagie A. Tricuspid Regurgitation in Mitral Valve Disease - Incidence, Prognostic Implications, Mechanism, and Management. Journal of the American College of Cardiology. Vol.53, No.5, 2009: 401–8
7. Song H., Kim M.J., Chung C.H., Choo S.J., Song M.G., Song J.M., Kang D.H., Lee J.W., Song J.K., (2009). Factors associated with development of late significant tricuspid regurgitation after successful left-sided valve surgery. Heart; (95): 931 – 936