Repairing Tricuspid valve During MV Surgery prevents Tricuspid Regurgitation progression
Tricuspid regurgitation (TR) is common in patients undergoing mitral valve (MV) surgery. A recent study suggests that tricuspid repair during MV surgery prevents TR progression. The study findings were resented at the Society of Thoracic Surgeons (STS) annual meeting on January 30, 2022.
There are concerns that if mild or moderate TR is not fixed at the time of surgery, it might progress and result in adverse outcomes, such as an increased risk of death or worsening functional outcomes. However, the indication for tricuspid valve intervention for less-than-severe TR in the absence of right-heart failure or significant tricuspid annulus dilation is less clear. Therefore, Dr Irsa Hasan and her team conducted a study to further assess the impact of tricuspid repair during MV surgery.
In a retrospective analysis, the researchers included 1588patients undergoing MV surgery with and without tricuspid surgery between 2001 and 2018. They included patients with preoperative transthoracic (TTE) and at least one postoperative TTE (within 6 months). Of 1,588 patients, 25% had moderate TR and, 7% had severe TR. Among the 404 patients with moderate TR—the focus of the analysis—103 patients had concomitant tricuspid valve surgery and, 301 were left untreated.
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