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isolated tricuspid regurgitation

Eustachio Agricola, Francesco Ancona, Luca Baldetti, Stefano Stella, Cristina Capogrosso, Alberto Margonato, Antonio Colombo, Alessandro Castiglioni, Andrea Fisicaro, Matteo Montorfano, Ottavio Alfieri, Azeem Latib
Tricuspid regurgitation is a common finding in patients with left-sided heart disease with prognostic implications. In addition, isolated tricuspid valve surgery is associated with high mortality and is infrequently performed. Hence, a largely unmet clinical need exists and less invasive therapeutic options are emerging: multiple percutaneous therapies have been developed, including tricuspid valve repair or replacement. This review aims to provide an overview with diagnostic and clinical perspectives, potential challenges and future directions...
February 2019: Giornale Italiano di Cardiologia
Stefano Mastrobuoni, Laurent de Kerchove, Emiliano Navarra, Christine Watremez, David Vancraeynest, Jean Rubay, Philippe Noirhomme, Gebrine El Khoury
OBJECTIVE: To analyze our long-term experience with valve-sparing reimplantation technique for the treatment of isolated root aneurysm, aneurysm with significant aortic regurgitation, and for isolated aortic regurgitation. METHODS: Between 1999 and 2017, 440 consecutive patients underwent valve-sparing reimplantation in our institution. The mean age of this cohort was 49 ± 15 years. Time-to-event analysis was performed with the Kaplan-Meier method, whereas significant predictors of late outcomes were explored with Cox proportional hazard model...
November 26, 2018: Journal of Thoracic and Cardiovascular Surgery
Ke Wei, Hong-Wei Guo, Shu-Ya Fan, Xiao-Gang Sun, Sheng-Shou Hu
BACKGROUND: We sought to analyze clinical features and surgical results of 10 cases of cardiac myxomas in Carney complex (CNC). METHODS: Between January 2003 and December 2013, 10 patients with cardiac myxomas in CNC underwent surgical resection. Associated cardiac lesions included moderate and severe mitral regurgitation in two cases, and moderate tricuspid regurgitation in one case. Age, gender, the incidence of arterial embolism, the rate of multiple cardiac myxomas, and the recurrence rate after resections of cardiac myxoma were compared between isolated cardiac myxomas and cardiac myxomas in CNC...
January 9, 2019: Journal of Cardiac Surgery
Osnat Itzhaki Ben Zadok, Alik Sagie, Mordehay Vaturi, Yaron Shapira, Shmuel Schwartzenberg, Israel Kuznitz, Tzippy Shochat, Tamir Bental, Idit Yedidya, Dan Aravot, Ran Kornowski, Ram Sharony
BACKGROUND: Late tricuspid regurgitation is a common finding in patients with rheumatic valvular disease after mitral valve replacement surgery. However, the long-term benefit of concomitant tricuspid valve annuloplasty has not been established in this population. METHODS: A single center retrospective study in a tertiary hospital. The final cohort included 285 rheumatic patients who underwent either isolated mitral valve replacement (147 patients) or mitral valve replacement with concomitant tricuspid valve annuloplasty (138 patients)...
October 25, 2018: Annals of Thoracic Surgery
Rasa Ordienė, Paulius Orda, Jolanta Justina Vaškelytė, Neris Stoškutė, Eglė Kazakauskaitė, Rimantas Benetis, Prakash P Punjabi, Dainius Karčiauskas, Eglė Ereminienė
OBJECTIVES: To evaluate the impact of concomitant tricuspid valve (TV) repair on the right ventricular (RV) function postoperatively and within the 6 months following degenerative mitral valve (MV) repair. METHODS: The prospective study included 37 patients (mean age 57.32 ± 2.13 years) with severe MV regurgitation due to primary MV prolapse. Nineteen underwent successful MV repair (TV(-) group). Additional TV repair due to moderate-to-severe TV regurgitation was performed in 18 (TV(+) group)...
December 31, 2018: Perfusion
M Wei, J Zhang, Z Y Liu, R Q Yang, Q Q Yu, F Wang, L M Fan, Y Nan
Objective: To study the relationship between the intracardiac echogenic foci and the abnormal chromosome and the changes of Cardiac function. Methods: A total of 2645 cases with the gestational age between 14 to 22 weeks were tested in the department of gynecology and obstetrics of the Second Hospital of Jilin University from Jan.2016 to Dec.2017.Seventy-nine of them existed the intracardiac echogenic foci, and the patient's imaging data in details were recorded.All of them have taken the non-invasive DNA examination...
December 18, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Philipp E Bartko, Henrike Arfsten, Gregor Heitzinger, Noemi Pavo, Max-Paul Winter, Aurel Toma, Guido Strunk, Christian Hengstenberg, Martin Hülsmann, Georg Goliasch
Aims: Bivalvular functional regurgitation (BVFR) defined as concomitant mitral and tricuspid insufficiency has not been described or systematically assessed before. Therefore, this study sought to define incidence, impact and natural history of BVFR in heart failure with reduced ejection fraction (HFrEF) to provide the foundation for risk assessment and directions for potential treatment strategies. Methods and results: We enrolled 1021 consecutive patients with HFrEF under guideline-directed medical therapy and performed comprehensive echocardiographic and neurohumoral profiling...
December 1, 2018: European Heart Journal Cardiovascular Imaging
Naoto Fukunaga, Tadaaki Koyama
PURPOSE: Isolated tricuspid valve surgery (TVS) following valvular surgery has been still challenging. We reviewed our experience to determine early and late outcomes. METHODS: We retrospectively analyzed 14 patients (mean age, 57.0 ± 17.8 years old) who underwent isolated TVS after valvular surgery between January 1990 and December 2010. The causes of isolated TVS were structural valve deterioration (SVD) (n = 5) and symptomatic severe tricuspid regurgitation (n = 9)...
November 28, 2018: Annals of Thoracic and Cardiovascular Surgery
Min Soo Cho, Jun Kim, Jung-Bok Lee, Gi-Byoung Nam, Kee-Joon Choi, You-Ho Kim
INTRODUCTION: The incidence and predictors of tricuspid regurgitation (TR) after permanent pacemaker (PM) implantations have not been well evaluated. We attempted to determine TR's natural course and predictors, especially focusing on the influence of atrial fibrillation (AF). METHODS: Data from 530 patients with dual-chamber PMs were evaluated. The main study outcomes were moderate to severe TR and isolated TR (moderate to severe TR without other structural heart diseases [SHDs]) in follow-up echocardiography...
November 11, 2018: Pacing and Clinical Electrophysiology: PACE
Yoshiya Kato, Arata Fukushima, Hiroyuki Iwano, Kiwamu Kamiya, Toshiyuki Nagai, Toshihisa Anzai
Severe tricuspid regurgitation (TR) is reported to represent a hemodynamic pattern similar to that of constrictive pericarditis (CP), which should be clearly differentiated for appropriate management. We report the case of a patient with severe TR due to atrial fibrillation (AF) in whom hemodynamic monitoring played a role in the selection of the management strategy. An 81-year-old Japanese man with chronic AF was admitted due to worsening heart failure. Echocardiography showed the dilation of bilateral atria and a right ventricle with severe TR...
November 2018: Journal of Cardiology Cases
Zhi Hao Teoh, James Roy, Joseph Reiken, Michael Papitsas, Jonathan Byrne, Mark Monaghan
Moderate-to-severe tricuspid regurgitation is associated with higher mortality and morbidity yet remains significantly undertreated. The reasons for this are complex but include a higher operative mortality for patients undergoing isolated tricuspid valve surgery. This study sought to determine the prevalence of patients with moderate-to-severe tricuspid regurgitation and identify those who could be potentially suitable for percutaneous tricuspid valve intervention by screening patients referred for transthoracic echocardiography (ECHO) at a tertiary center...
October 1, 2018: Echo Research and Practice
Patricia Corzo, Anna Pros, Juana Martinez-Llorens, Luis Molina, Stephanie Fenxi Ling, Eva Balcells
INTRODUCTION: Diffusing capacity for carbon monoxide (DLco) reduction is the first detectable pulmonary functional test (PFT) change in systemic sclerosis (SSc)-related pulmonary complications. reduction in patients without cardiopulmonary alterations has also been observed; a good characterisation of these patients is lacking. The objective of this study is to describe the characteristics of SSc patients with isolated DLco reduction and compare these patients to SSc patients with DLco reduction with a known cause...
December 2018: Clinical Rheumatology
Krishna Kumar Mohanan Nair, Sanjay Ganapathi, Sonali Inamdar, Arun Gopalakrishnan, Tirur Raman Kapilamoorthy, Ajitkumar Valaparambil
An isolated right-sided aortic arch with no congenital heart disease is extremely rare. We report an adult woman with longstanding rheumatic heart disease causing severe calcific mitral stenosis, moderate mitral regurgitation and moderate pulmonary hypertension, for which she underwent mitral valve replacement and tricuspid annuloplasty. On preoperative work-up, she was detected to have a right-sided aortic arch with mirror image branching along with a ductal dimple. However, there were no associated congenital cardiac defects...
January 2018: National Medical Journal of India
Martijn G Slieker, James M Meza, Paul J Devlin, Phillip T Burch, Tara Karamlou, William M DeCampli, Brian W McCrindle, William G Williams, Conall T Morgan, Craig E Fleishman, Luc Mertens
Aims: The aims of this study were to provide a detailed descriptive analysis of pre-intervention morphologic and functional echocardiographic parameters in a large, unselected, multicentre cohort of neonates diagnosed with critical left heart obstruction and to compare echocardiographic features between the different subtypes of left-sided lesions. Methods and results: Pre-intervention echocardiograms for 651 patients from 19 Congenital Heart Surgeons' Society (CHSS) institutions were reviewed in a core lab according to a standardized protocol including >150 morphologic and functional variables...
October 17, 2018: European Heart Journal Cardiovascular Imaging
Younes Moutakiallah, Mahdi Aithoussa, Noureddine Atmani, Aniss Seghrouchni, Azeddine Moujahid, Abdedaïm Hatim, Iliyasse Asfalou, Zouhair Lakhal, Abdelatif Boulahya
BACKGROUND: The reoperation for isolated tricuspid regurgitation in rheumatic population is rare and still unclear and controversial because of the rarity of publications. The aim of this study was to analyze short and long-term results and outcome of tricuspid valve surgery after left-sided valve surgery in rheumatic patients. METHODS: Twenty six consecutive rheumatic patients who underwent isolated tricuspid valve surgery after left-sided valve surgery between January 2000 and January2017 were retrospectively registered in the study...
October 4, 2018: Journal of Cardiothoracic Surgery
Lluis Asmarats, François Dagenais, Elisabeth Bédard, Sergio Pasian, Rebecca T Hahn, José L Navia, Josep Rodés-Cabau
Despite the growing evidence with emerging transcatheter tricuspid valve repair therapies, the experience with transcatheter tricuspid valve replacement remains sparse. We describe a case of severe tricuspid regurgitation in a 79-year-old patient deemed unsuitable for isolated tricuspid valve surgery, successfully treated with a 40-mm self-expandable NaviGate (NaviGate Cardiac Structures, Inc, Lake Forest, CA) valved stent via a transatrial approach, with excellent result and hemodynamic performance at 4 months...
October 2018: Canadian Journal of Cardiology
Mohamad Alkhouli, Chalak Berzingi, Amer Kowatli, Fahad Alqahtani, Vinay Badhwar
Background: Comparative outcome data on tricuspid valve repair (TVr) versus tricuspid valve replacement (TVR) for severe secondary tricuspid regurgitation (TR) are limited. Methods: We used a national inpatient sample to assess in-hospital morbidity and mortality, length of stay and cost in patients with severe secondary TR undergoing isolated TVr versus TVR. Results: A total of 1364 patients (national estimate=6757) underwent isolated tricuspid valve surgery during the study period, of whom 569 (41...
2018: Open Heart
Yan Topilsky, Simon Maltais, Jose Medina Inojosa, Didem Oguz, Hector Michelena, Joseph Maalouf, Douglas W Mahoney, Maurice Enriquez-Sarano
OBJECTIVES: This study sought to analyze patients with tricuspid regurgitation (TR) diagnosed in the community setting (Olmsted County) by Doppler echocardiography to define the prevalence, characteristics, and implications of clinically significant (greater or equal to moderate) TR. BACKGROUND: The prevalence, cause distribution, and significance of TR are mostly unknown. METHODS: All adult residents of Olmsted County, Minnesota, who underwent clinically indicated Doppler echocardiography between 1990 and 2000 were evaluated for presence of greater or equal to moderate TR...
August 6, 2018: JACC. Cardiovascular Imaging
Takao Konishi, Hironori Murakami, Shinya Tanaka
CLINICAL INTRODUCTION: A 59-year-old woman visited an outpatient cardiology clinic due to shortness of breath on exertion. Physical examination showed no significant abnormality of vital signs. A III/VI systolic murmur was heard on the fourth intercostal space at the right sternal border. The majority of laboratory tests were normal. Chest X-ray showed a curved vessel shadow (figure 1A). Initial transthoracic echocardiography showed abnormal blood flow into the inferior vena cava (IVC) in the subxiphoid long axis view (figure 1B) and mild right heart dilatation (online supplementary figure 1)...
August 9, 2018: Heart: Official Journal of the British Cardiac Society
Sajad Shehab, Sabine M Allida, Phillip J Newton, Desiree Robson, Peter S Macdonald, Patricia M Davidson, Paul C Jansz, Christopher S Hayward
Aortic regurgitation (AR), mitral regurgitation (MR), and tricuspid regurgitation (TR) after continuous-flow left ventricular assist device (LVAD) are common and may increase with prolonged LVAD support. The aim of this study was to simulate severe valvular regurgitation (AR, MR, and TR) within a 4-elemental pulsatile mock circulatory loop (MCL) and observe their impact on isolated LVAD and biventricular assist device (BiVAD) with HeartWare HVAD. Aortic regurgitation, MR, and TR were achieved via the removal of one leaflet from bileaflet mechanical valve from the appropriate valves of the left or right ventricles...
August 2, 2018: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
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