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Related Concept Videos

Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...

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Predictors of late outcomes after concomitant tricuspid valve repair with left-sided valve surgery.

Kazuki Noda1, Naonori Kawamoto2, Satoshi Kainuma1

  • 1Departments of Cardiac Surgery, National Cerebral and Cardiovascular Center, 6-1 Kishibe-Shinmachi, Suita, Osaka, 564-8565, Japan.

General Thoracic and Cardiovascular Surgery
|April 22, 2024
PubMed
Summary

Concomitant tricuspid valve (TV) repair alongside left-sided valve surgery offers good long-term survival and durability, preventing recurrent tricuspid regurgitation (TR). Preoperative patient health significantly impacts outcomes for those with severe TR.

Keywords:
Concomitant tricuspid valve annuloplastyPredictors of mortalityPredictors of recurrent TR

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Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Repair
  • Surgical Outcomes

Background:

  • Concomitant tricuspid valve (TV) repair is performed during left-sided valve surgery to prevent tricuspid regurgitation (TR).
  • Limited data exists on the long-term efficacy and predictors of recurrence for TV repair.
  • This study evaluates late outcomes and identifies mortality/TR recurrence predictors.

Purpose of the Study:

  • To assess the long-term survival and durability of concomitant TV repair.
  • To identify predictors of mortality and recurrent TR after TV repair in patients undergoing left-sided valve surgery.

Main Methods:

  • Retrospective analysis of 645 patients undergoing concomitant TV repair and left-sided valve surgery (2006-2020).
  • Evaluation of in-hospital/30-day mortality, long-term survival, and freedom from recurrent TR (grade ≥3).
  • Multivariate analysis to determine predictors of mortality and recurrent TR.

Main Results:

  • Long-term survival was 90.3% at 5 years and 80.8% at 10 years.
  • Freedom from recurrent TR was 96.1% at 5 years and 88.8% at 10 years.
  • Predictors of mortality in severe TR included prior pacemaker, renal dysfunction, diabetes, and NYHA class ≥3. Annuloplasty type did not predict recurrent TR.

Conclusions:

  • Concomitant TV repair demonstrates acceptable long-term survival and TR durability.
  • Preoperative patient factors significantly influence prognosis, particularly in those with severe TR.