PMID- 31495812
OWN - NLM
STAT- MEDLINE
DCOM- 20200706
LR  - 20200706
IS  - 2186-1005 (Electronic)
IS  - 1341-1098 (Print)
IS  - 1341-1098 (Linking)
VI  - 26
IP  - 2
DP  - 2020 Apr 20
TI  - Comparison of Mitral Valve Repair versus Replacement for the Progression of 
      Functional Tricuspid Regurgitation.
PG  - 72-78
LID - 10.5761/atcs.oa.19-00132 [doi]
AB  - BACKGROUND: Function tricuspid regurgitation (TR) is frequently observed in 
      patients undergoing mitral valve surgery. It is unclear that mitral valve repair 
      (MVr) or mitral valve replacement (MVR) has influence on the likelihood of late 
      TR progression. METHODS: This study included 193 patients with degenerative 
      mitral valve disease who underwent either MVr or MVR. Detailed preoperative 
      materials, follow-up information, and echocardiographic data were collected and 
      statistically analyzed. RESULTS: At 6 and 12 months postoperatively, MVR patients 
      were more likely to have New York Heart Association (NYHA) class III or IV 
      symptoms than MVr patients (6 mo: 15.2% vs 5.0%, 12 mo: 13.0% vs 4.0%, both P 
      <0.05). At 24 months, the incidence of Grade 1+ TR was significantly higher in 
      MVR patients than MVr patients (25.0% vs 12.9%, P <0.05). In univariate analysis, 
      age (odds ratio [OR] = 1.036, P = 0.036), MVR (OR = 2.256, P = 0.033), and 
      preoperative TR area (TRA; OR = 1.541, P = 0.047) were significant predictors for 
      TR progression. In multivariate logistics analysis, only MVR was independently 
      risk factor (P = 0.006). Subsequently, patients were divided into tricuspid valve 
      repair (TVr) group and untreated group. In both subgroups, MVR patients were 
      associated with significantly larger TRA (P <0.01). CONCLUSION: MVR was an 
      independent risk factor for TR progression, whether tricuspid valve was treated 
      or not.
FAU - Gao, Yang
AU  - Gao Y
AD  - Department of Cardiology Surgery, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing, China.
FAU - Li, Shubin
AU  - Li S
AD  - Department of Cardiology Surgery, Xinxiang Central Hospital, Xinxiang, China.
FAU - Zhuang, Xijing
AU  - Zhuang X
AD  - Department of Cardiology Surgery, Dalian Municipal Central Hospital, Dalian, 
      China.
FAU - Gao, Feng
AU  - Gao F
AD  - Department of Cardiology Surgery, Dalian Municipal Central Hospital, Dalian, 
      China.
FAU - Shi, Lei
AU  - Shi L
AD  - Department of Cardiology Surgery, Dalian Municipal Central Hospital, Dalian, 
      China.
FAU - Meng, Xu
AU  - Meng X
AD  - Department of Cardiology Surgery, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing, China.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20190906
PL  - Japan
TA  - Ann Thorac Cardiovasc Surg
JT  - Annals of thoracic and cardiovascular surgery : official journal of the 
      Association of Thoracic and Cardiovascular Surgeons of Asia
JID - 9703158
SB  - IM
MH  - Adult
MH  - Aged
MH  - Disease Progression
MH  - Female
MH  - *Heart Valve Prosthesis Implantation/adverse effects
MH  - Hemodynamics
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/diagnostic imaging/physiopathology/*surgery
MH  - *Mitral Valve Annuloplasty/adverse effects
MH  - Mitral Valve Insufficiency/diagnostic imaging/physiopathology/*surgery
MH  - Mitral Valve Prolapse/diagnostic imaging/physiopathology/*surgery
MH  - Recovery of Function
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Risk Factors
MH  - Severity of Illness Index
MH  - Time Factors
MH  - Treatment Outcome
MH  - Tricuspid Valve/diagnostic imaging/*physiopathology
MH  - Tricuspid Valve Insufficiency/diagnostic imaging/*physiopathology
PMC - PMC7184033
OTO - NOTNLM
OT  - functional tricuspid valve regurgitation
OT  - mitral valve repair
OT  - replacement
OT  - risk factor
EDAT- 2019/09/10 06:00
MHDA- 2020/07/07 06:00
PMCR- 2020/01/01
CRDT- 2019/09/10 06:00
PHST- 2019/09/10 06:00 [pubmed]
PHST- 2020/07/07 06:00 [medline]
PHST- 2019/09/10 06:00 [entrez]
PHST- 2020/01/01 00:00 [pmc-release]
AID - atcs.oa.19-00132 [pii]
AID - 10.5761/atcs.oa.19-00132 [doi]
PST - ppublish
SO  - Ann Thorac Cardiovasc Surg. 2020 Apr 20;26(2):72-78. doi: 
      10.5761/atcs.oa.19-00132. Epub 2019 Sep 6.