Prognostic Value of Preoperative Right Ventricular Geometry and Tricuspid Valve Tethering Area in Patients Undergoing Tricuspid Annuloplasty

BACKGROUND—Patients who undergo tricuspid annuloplasty during left-side heart valve surgery have a poor postoperative clinical outcome. However, preoperative right ventricular (RV) echocardiography parameters that predict adverse events in these patients are poorly understood. METHODS AND RESULTS—We...

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Veröffentlicht in:	Circulation (New York, N.Y.) N.Y.), 2014-01, Vol.129 (1), p.87-92
Hauptverfasser:	Yiu, Kai-Hang, Wong, Arthur, Pu, Lijun, Chiang, Man-Fung, Sit, Ko-Yung, Chan, Daniel, Lee, Hou-Yee, Lam, Yui-Ming, Chen, Yan, Siu, Chung-Wah, Lau, Chu-Pak, Au, Wing-Kok, Tse, Hung-Fat
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aortic Valve - diagnostic imaging Aortic Valve - physiopathology Biological and medical sciences Blood and lymphatic vessels Cardiac Valve Annuloplasty - adverse effects Cardiac Valve Annuloplasty - methods Cardiac Valve Annuloplasty - mortality Cardiology. Vascular system Cardiovascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Echocardiography - statistics & numerical data Female Follow-Up Studies Heart Ventricles - diagnostic imaging Heart Ventricles - physiopathology Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Mitral Valve - diagnostic imaging Mitral Valve - physiopathology Observer Variation Postoperative Complications - diagnostic imaging Postoperative Complications - mortality Predictive Value of Tests Prognosis Tricuspid Valve - diagnostic imaging Tricuspid Valve - physiopathology Tricuspid Valve - surgery Tricuspid Valve Insufficiency - diagnostic imaging Tricuspid Valve Insufficiency - mortality Tricuspid Valve Insufficiency - surgery Ultrasonic investigative techniques
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Zusammenfassung:	BACKGROUND—Patients who undergo tricuspid annuloplasty during left-side heart valve surgery have a poor postoperative clinical outcome. However, preoperative right ventricular (RV) echocardiography parameters that predict adverse events in these patients are poorly understood. METHODS AND RESULTS—We studied 74 patients (age, 58±10 years; men, 27%) with significant tricuspid regurgitation who consequently underwent tricuspid annuloplasty during left-side heart valve surgery. A total of 26 adverse events (22 heart failures and 4 cardiovascular deaths) occurred during a median follow-up of 26 months. RV midcavity diameter (hazard ratio=2.44; 95% confidence interval=1.48–4.02; P
ISSN:	0009-7322 1524-4539
DOI:	10.1161/CIRCULATIONAHA.113.003811