The effect of pulmonary hypertension and right ventricular dysfunction on early mortality and morbidity in patients undergoing mitral valve replacement

The indications for concominant tricuspid valve surgery in patients undergoing mitral valve surgery for rheumatic reasons are limited. The aim of our study was to investigate the effects of severe pulmonary hypertension and low TAPSE values on early-term mortality and morbidity in patients undergoin...

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Veröffentlicht in:	BMC cardiovascular disorders 2024-10, Vol.24 (1), p.568-7, Article 568
Hauptverfasser:	Gencoglu, Faruk, Yesiltas, Mehmet Ali, Koyuncu, Ozan, Mert, Ali Murat
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Arterial Pressure Blood transfusion Blood transfusions Calcification Cardiovascular disease Care and treatment Complications and side effects Congenital diseases Female Heart Heart Valve Prosthesis Implantation - adverse effects Heart Valve Prosthesis Implantation - mortality Heart valve replacement Humans Hypertension Hypertension, Pulmonary - diagnosis Hypertension, Pulmonary - mortality Hypertension, Pulmonary - physiopathology Hypertension, Pulmonary - surgery Intensive care Intubation Male Middle Aged Mitral valve Mitral Valve - diagnostic imaging Mitral Valve - physiopathology Mitral Valve - surgery Mitral Valve Insufficiency - diagnostic imaging Mitral Valve Insufficiency - mortality Mitral Valve Insufficiency - physiopathology Mitral Valve Insufficiency - surgery Mitral valve replacement Mitral valve stenosis Morbidity Morphology Mortality Patient outcomes Patients Pericardium Postoperative Complications - etiology Postoperative Complications - mortality Prevention Pulmonary arteries Pulmonary artery Pulmonary Artery - physiopathology Pulmonary Artery - surgery Pulmonary hypertension Regurgitation Renal failure Retrospective Studies Rheumatic fever Rheumatic heart disease Rheumatic Heart Disease - complications Rheumatic Heart Disease - diagnosis Rheumatic Heart Disease - mortality Rheumatic Heart Disease - physiopathology Rheumatic Heart Disease - surgery Right ventricular dysfunction Risk Assessment Risk Factors Surgery Sutures Time Factors Treatment Outcome Tricuspid valve Ventricle Ventricular Dysfunction, Right - etiology Ventricular Dysfunction, Right - mortality Ventricular Dysfunction, Right - physiopathology Ventricular Function, Right
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Zusammenfassung:	The indications for concominant tricuspid valve surgery in patients undergoing mitral valve surgery for rheumatic reasons are limited. The aim of our study was to investigate the effects of severe pulmonary hypertension and low TAPSE values on early-term mortality and morbidity in patients undergoing mitral valve replacement. The data of all patients who underwent mitral valve replacement between January 2013 and August 2020 were examined retrospectively. Patients were divided into 2 groups according to pulmonary artery pressure (PAP ≥ 50 and PAP 50 was then divided into 2 subgroups according to TAPSE (1.5 ≥ or 50 and 26 patients with PAP 50 group, the rates of tricuspid regurgitation (p
ISSN:	1471-2261 1471-2261
DOI:	10.1186/s12872-024-04238-7