Table 1 Preoperative characteristics of patients undergoing tricuspid valve surgery for isolated rheumatic tricuspid regurgitation (n = 26). Data are Presented as Mean ± SD, Median (Range), or n (%)
From: Reoperation for isolated rheumatic tricuspid regurgitation
Characteristics | All patients n = 26 | Functional TR n = 14 | Organic TR n = 12 | p-Value |
|---|---|---|---|---|
Age (year) | 48.2 ± 8.6 | 51.4 ± 9.3 | 44.4 ± 5.9 | 0.04 |
Sex (female) | 24 (92.3%) | 12 (85.7%) | 12 (100%) | 0.28 |
Symptoms duration (month) | 29.5 ± 23.1 | 23.6 ± 16.5 | 36.3 ± 28.2 | 0.17 |
EuroSCORE | 4.2 (2.5–24.1) | 12.2 (2.5–24.1) | 15 (3–16.2) | 0.3 |
NYHA class 3–4 | 21 (80.8%) | 11 (78.6%) | 10 (83.3%) | 0.58 |
Lower extremities edema | 16 (61.5%) | 9 (64.3%) | 7 (58.3%) | 0.54 |
Ascites | 7 (26.9%) | 4 (28.6%) | 3 (25%) | 0.60 |
Diabetes mellitus | 3 (11.5%) | 2 (14.3%) | 1 (8.3%) | 0.56 |
Gastro-duodenal ulcer | 2 (7.7%) | 2 (14.3%) | 0 (0%) | 0.28 |
History of stroke | 3 (11.5%) | 0 (0%) | 3 (25%) | 0.09 |
Haemoglobin < 12 g/dl | 6 (23.1%) | 3 (21.4%) | 3 (25%) | 0.60 |
Creatinine ≥2 mg/dl | 2 (7.7%) | 1 (7.1%) | 1 (8.3%) | 0.72 |
Atrial fibrillation | 26 (100%) | 14 (100%) | 12 (100%) | 1 |
Cardio-thoracic ratio | 0.63 ± 0.09 | 0.62 ± 0.09 | 0.65 ± 0.09 | 0.4 |
Nature of tricuspid regurgitation | ||||
- Late | 16 (61.5%) | 13 (92.9%) | 3 (25%) | 0.001 |
- Redo | 10 (38.5%) | 1 (7.1%) | 9 (75%) | 0.001 |
Tricuspid annulus diameter (mm) | 42.8 ± 5.6 | 45.2 ± 3.1 | 40 ± 6.7 | 0.02 |
Tricuspid regurgitation severity | 3.8 ± 0.4 | 3.7 ± 0.5 | 3.8 ± 0.4 | 0.5 |
- Grade 3 | 6 (23.1%) | 4 (28.6%) | 2 (16.7%) | 0.65 |
- Grade 4 | 20 (76.9%) | 10 (71.4%) | 10 (83.3%) | 0.40 |
Right ventricular dysfunction | 12 (46.2%) | 7 (50%) | 5 (41.7%) | 0.49 |
Systolic pulmonary arterial pressure (mmHg) | 47 ± 16.4 | 41.7 ± 11.6 | 53.2 ± 19.3 | 0.09 |
Left ventricular ejection fraction (%) | 57.1 ± 9.4 | 57.9 ± 6.7 | 56.1 ± 12.4 | 0.64 |
Left ventricular ejection fraction < 40% | 1 (3.8%) | 0 (0%) | 1 (8.3%) | 0.46 |
Left atrium diameter (mm) | 55.9 ± 13.9 | 56.4 ± 17.1 | 55.4 ± 10.8 | 0.88 |
Number of previous heart operations | 1.4 ± 0.6 | 1.2 ± 0.4 | 1.6 ± 0.8 | 0.2 |
- 1 | 18 (69.2%) | 11 (78.6%) | 7 (58.3%) | 0.4 |
- 2 | 6 (23.1%) | 3 (21.4%) | 3 (25%) | 1 |
- 3 | 2 (7.7%) | 0 (0%) | 2 (16.7%) | 0.2 |
Previous left side valve surgery | ||||
- Mitral valve replacement | 16 (61.5%) | 10 (71.4%) | 6 (50%) | 0.42 |
- Mitral and aortic valve replacement | 10 (38.5%) | 4 (28.6%) | 6 (50%) | 0.24 |
Previous tricuspid procedure | ||||
- No tricuspid procedure | 16 (61.5%) | 13 (92.9%) | 3 (25%) | 0.001 |
- Devega technique | 2 (7.7%) | 1 (7.1%) | 1 (8.3%) | 1 |
- Devega + Commissurotomy | 7 (26.9%) | 0 (0%) | 7 (58.3%) | 0.001 |
- Commissurotomy | 1 (3.8%) | 0 (0%) | 1 (8.3%) | 0.5 |