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

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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.

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References

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