• Corpus ID: 24831963

Late tricuspid regurgitation following mitral valve surgery.

@article{Groves1992LateTR,
  title={Late tricuspid regurgitation following mitral valve surgery.},
  author={P H Groves and Robert J. Hall},
  journal={The Journal of heart valve disease},
  year={1992},
  volume={1 1},
  pages={
          80-6
        }
}
The development of late tricuspid regurgitation is an important complication of mitral valve surgery, as it is associated with a severe impairment of exercise capacity and a poor symptomatic outcome. The pathogenesis of this condition remains poorly defined, but it is usually attributable to a functional abnormality of the tricuspid valve. Whilst its development may indicate an increased afterload on the right heart as a consequence of persistent pulmonary hypertension, mitral prosthetic… 

The role of tricuspid valve repair and replacement in right heart failure

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    Current opinion in cardiology
  • 2012
The presence of significant tricuspid regurgitation, whether in the context of mitral valve disease or heart failure, should no longer be treated with ‘surgical abstention’ and whether the surgical correction of tric Suspid Regurgitation in left heart disease can definitively improve clinical outcomes should be addressed by prospective clinical trials.

Secondary tricuspid valve regurgitation: a forgotten entity

It is evident that the authors must intervene on the tricuspid valve in cases of obviously severe tric Suspid insufficiency and in cases where perioperative detection of a more significant TR than expected is made, especially when triggered by increasing load conditions.

Tricuspid Valve Insufficiency and ITS Management

The De Vega procedure, which was the method employed most during the studied period, remains a valid surgical option for tricuspid annuloplasty.

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As more patients develop advanced heart failure, the management of TR in patients with left ventricular assist devices has become necessary because of the evidence of increased in-hospital morbidity and a trend toward decreased survival.

Mild-to-moderate functional tricuspid regurgitation in patients undergoing valve replacement for rheumatic mitral disease: the influence of tricuspid valve repair on clinical and echocardiographic outcomes

Findings support the strategy of correcting mild-to-moderate functional TR at the time of MV replacement to maintain TV function and improve clinical outcomes.

Which type of secondary tricuspid regurgitation accompanying mitral valve disease should be surgically treated?

  • Tsuneo AriyoshiK. Hashizume K. Eishi
  • Medicine
    Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
  • 2013
The results suggest that TAP should be performed concurrently with mitral valve surgery in patients with secondary tricuspid regurgitation of grade ≥2+, especially those having atrial fibrillation, even if TR is not severe.

Impact of the Maze Operation Combined With Left-Sided Valve Surgery on the Change in Tricuspid Regurgitation Over Time

AF predisposes patients undergoing mitral valve surgery to the progression of TR, which can be prevented by MAZE, and this additional benefit of MAZE is largely dependent on the restoration and maintenance of atrial mechanical function.

Determinants of Surgical Outcome in Patients With Isolated Tricuspid Regurgitation

Timely correction of severe tricuspid regurgitation carries an acceptable risk and improves functional capacity and surgery should be considered before the development of advanced RV systolic dysfunction and before theDevelopment of anemia.