PMID- 36803532
OWN - NLM
STAT- MEDLINE
DCOM- 20230223
LR  - 20230224
IS  - 1749-8090 (Electronic)
IS  - 1749-8090 (Linking)
VI  - 18
IP  - 1
DP  - 2023 Feb 17
TI  - Tricuspid repair in mitral regurgitation surgery: a systematic review and 
      meta-analysis.
PG  - 76
LID - 10.1186/s13019-023-02158-9 [doi]
LID - 76
AB  - BACKGROUND: Concomitant tricuspid repair in MR surgery is indicated in patients 
      with severa tricuspid regurgitation, however, concomitant repair in 
      less-than-severe TR patients is still a matter of debate. METHODS: In December 
      2021, we systematically searched PubMed, Embase and Cochrane databases for 
      randomised control trials (RCTs) comparing isolated MR surgery versus MR surgery 
      with concomitant TR annuloplasty. Four studies were included, resulting in 651 
      patients (323 in the prophylactic tricuspid intervention group and 328 in the no 
      tricuspid intervention group). RESULTS: Our meta-analysis showed a similar 
      all-cause mortality and perioperative mortality for concomitant prophylactic 
      tricuspid repair when compared with no tricuspid intervention (pooled odds ratio 
      (OR), 0.54; 95% confidence interval (CI): 0.25-1.15, P = 0.11; I(2) = 0% and 
      pooled OR, 0.54; 95% CI: 0.25-1.15, P = 0.11; I(2) = 0%, respectively) in 
      patients undergoing MV surgery. despite a significantly lower TR progression 
      (pooled OR, 0.06; 95% CI: 0.02-0.24, P < 0.01; I(2) = 0%). Additionally, similar 
      New York Heart Association (NYHA) classes III and IV were identified in both 
      concomitant prophylactic tricuspid repair and no tricuspid intervention, despite 
      a lower trend in the tricuspid intervention group (pooled OR, 0.63; 95% CI: 
      0.38-1.06, P = 0.08; I(2) = 0%). CONCLUSIONS: Our pooled analyses suggested that 
      TV repair at the time of MV surgery in patients with moderate or 
      less-than-moderate TR did not impact on perioperative or postoperative all-cause 
      mortality, despite reducing TR severity and TR progression following the 
      intervention.
CI  - (c) 2023. The Author(s).
FAU - Cardoso, Joao Lopes
AU  - Cardoso JL
AD  - Servico de Cardiotoracica, Centro Hospitalar Vila Nova de Gaia/Espinho, Rua 
      Conceicao Fernandes, 4434-502, Vila Nova de Gaia, Portugal. 
      joaoluisflcardoso@gmail.com.
FAU - Ferraz Costa, Goncalo Nuno
AU  - Ferraz Costa GN
AD  - Servico de Cardiologia, Centro Hospitalar E Universitario de Coimbra, Coimbra, 
      Portugal.
FAU - Neves, Fatima
AU  - Neves F
AD  - Servico de Cardiotoracica, Centro Hospitalar Vila Nova de Gaia/Espinho, Rua 
      Conceicao Fernandes, 4434-502, Vila Nova de Gaia, Portugal.
FAU - Goncalves, Lino
AU  - Goncalves L
AD  - Servico de Cardiologia, Centro Hospitalar E Universitario de Coimbra, Coimbra, 
      Portugal.
AD  - Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal.
AD  - Coimbra Institute for Clinical and Biomedical Research (iCBR), Coimbra, Portugal.
FAU - Teixeira, Rogerio
AU  - Teixeira R
AD  - Servico de Cardiologia, Centro Hospitalar E Universitario de Coimbra, Coimbra, 
      Portugal.
AD  - Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal.
AD  - Coimbra Institute for Clinical and Biomedical Research (iCBR), Coimbra, Portugal.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Systematic Review
DEP - 20230217
PL  - England
TA  - J Cardiothorac Surg
JT  - Journal of cardiothoracic surgery
JID - 101265113
SB  - IM
MH  - Humans
MH  - *Mitral Valve Insufficiency/complications
MH  - *Heart Valve Prosthesis Implantation/methods
MH  - Treatment Outcome
MH  - Retrospective Studies
MH  - Mitral Valve/surgery
MH  - *Tricuspid Valve Insufficiency/complications
PMC - PMC9938557
OTO - NOTNLM
OT  - Mitral valve
OT  - Prophylactic tricuspid repair
OT  - Tricuspid regurgitation
OT  - Tricuspid valve
COIS- None declared.
EDAT- 2023/02/22 06:00
MHDA- 2023/02/25 06:00
PMCR- 2023/02/17
CRDT- 2023/02/21 18:08
PHST- 2022/11/20 00:00 [received]
PHST- 2023/01/24 00:00 [accepted]
PHST- 2023/02/21 18:08 [entrez]
PHST- 2023/02/22 06:00 [pubmed]
PHST- 2023/02/25 06:00 [medline]
PHST- 2023/02/17 00:00 [pmc-release]
AID - 10.1186/s13019-023-02158-9 [pii]
AID - 2158 [pii]
AID - 10.1186/s13019-023-02158-9 [doi]
PST - epublish
SO  - J Cardiothorac Surg. 2023 Feb 17;18(1):76. doi: 10.1186/s13019-023-02158-9.