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  • Meeting abstract
  • Open Access

Fate of Tricuspid Valve Five Years after Left Heart Valve Replacement

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Journal of Cardiothoracic Surgery201510 (Suppl 1) :A21

https://doi.org/10.1186/1749-8090-10-S1-A21

  • Published:

Keywords

  • Mitral Valve
  • Tricuspid Valve
  • Tricuspid Regurgitation
  • Severe Regurgitation
  • Tricuspid Valve Regurgitation

Background/Introduction

Residual functional tricuspid regurgitation can cause significant symptoms after a successful left heart valve replacement surgery. There is more evidence towards repairing moderate tricuspid valve regurgitation of late.

Aims/Objectives

We analysed the fate of Tricuspid valve at the end of five years after a left heart valve replacement irrespective of whether they had undergone a concomitant TV repair or not during the initial surgery

Method

Between January 2008 and December 2009, 200 patients who had undergone a left heart valve replacement were analysed for the degree of TV regurgitation at the end of five years. 162 patients had undergone a Mitral valve surgery and 38 patients had undergone a double valve replacement. Group I - 40 patients had a concomitant TV repair (Modified de Vaga's annuloplasty) during the primary surgery and Group II 160 patients did not have a concomitant TV repair.

Results

In Group I, of the 40 patients, 4 patients (10%) underwent TV repair for moderate TV regurgitation, and all the 4 patients had trivial to mid TV regurgitation. 36 patients underwent TV repair for severe regurgitation, of these patients, 30 patients (83.3%) had trivial to mild residual TV regurgitation, while only 6 patients (16.6%) had moderate to severe TV regurgitation. In Group II, of the 160 patients, 58 patients (36.2%) and 16 patients (10%) had moderate and severe TV regurgitation which was left un-corrected. Of the 58 patients who had moderate TV regurgitation, 20 patients (34.4%) had moderate regurgitation and 4 patients (6.8%) had severe TV regurgitation at the end of five years. Of the 16 patients who had severe TR addressed during the initial surgery, 8 patients (50%) had moderate to severe TV regurgitation at the end of five years.

Discussion/Conclusion

A concomitant Tricuspid valve repair is recommended during a left heart valve replacement, if the degree of Tricuspid regurgitation is moderate. This helps in alleviating the symptoms of residual tricuspid valve regurgitation on long term follow up.

Authors’ Affiliations

(1)
Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai, India

Copyright

© Mohanraj et al. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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