Medium-term assessment of functional tricuspid regurgitation after annuloplasty using a three-dimensional rigid ring Valoración a medio plazo de la insuficiencia tricuspídea funcional tras anuloplastia con anillo rígido tridimensional
Roselló-Díez, Elena (Institut d'Investigació Biomèdica Sant Pau)
Muñoz-Guijosa, Christian (Hospital 12 de Octubre (Madrid))
Montiel, José (Institut d'Investigació Biomèdica Sant Pau)
Ginel, Antonino (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Tauron, Manel (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Casellas, Sandra (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Padró Fernández, José María (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Universitat Autònoma de Barcelona

Date:	2017
Abstract:	Significant functional tricuspid regurgitation is associated with a high morbidity and mortality if not repaired during left heart-valve surgery, or if it recurs during the follow-up. Classic tricuspid annuloplasty with suture techniques has a high rate of tricuspid regurgitation recurrence. Annuloplasty techniques with prosthetic rings are currently preferred for this condition, since they have longer-lasting results during the follow-up. The objectives of this study are to assess the medium-term echocardiographic outcomes of tricuspid annuloplasty using a three-dimensional rigid ring, and to determinate the predictive factors for recurrence of significant tricuspid regurgitation after annuloplasty. Variables were collected from a total 260 tricuspid annuloplasties with a three-dimensional rigid ring performed in our centre, along with the clinical and echocardiographic follow-up data. A multivariate regression analysis was carried out in order to establish the risk factors predisposing to significant tricuspid regurgitation during the follow-up. After a median follow-up time 16 months (3. 9-34. 5), 220 patients (84. 62%) had a control echocardiogram. Persistent/recurrent severe tricuspid regurgitation occurred in 5. 0%. Risk factors for significant tricuspid regurgitation after annuloplasty were: Severe pulmonary hypertension at follow-up (OR 337. 91; 95% CI: 34. 60-3300. 07; P<. 001) and post-operative right heart failure (OR 1. 02; 95% CI: 1. 003-1. 037; P=. 021). Preserved left ventricle function (OR 0. 96; 95% CI: 0. 927-0. 993; P=. 018) and concomitant mitral surgery (OR 0. 97; 95% CI: 0. 960-0. 990; P=. 001) emerged as protector factors. Tricuspid annuloplasty using a three-dimensional rigid ring is an effective procedure for correcting secondary tricuspid regurgitation, with a low rate of persistent or recurrent significant tricuspid regurgitation during the followup.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Castellà
Document:	Article ; recerca ; Versió publicada
Subject:	Anuloplastia valvular ; Factores de riesgo ; Hipertensión pulmonar ; Insuficiencia tricuspídea ; Valoración de resultados
Published in:	Cirugia Cardiovascular, Vol. 24 Núm. 2 (enero 2017) , p. 78-85, ISSN 1134-0096

DOI: 10.1016/j.circv.2016.11.051

8 p, 732.9 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles