التفاصيل البيبلوغرافية
| العنوان: |
Impact of tricuspid regurgitation on late right ventricular failure in left ventricular assist device patients ~can prophylactic tricuspid annuloplasty prevent late right ventricular failure? ~. |
| المؤلفون: |
Nakazato, Taro, Yoshioka, Daisuke, Toda, Koichi, Miyagawa, Shigeru, Kainuma, Satoshi, Kawamura, Takuji, Kawamura, Ai, Kashiyama, Noriyuki, Ueno, Takayoshi, Kuratani, Toru, Sakata, Yasushi, Sawa, Yoshiki |
| المصدر: |
Journal of Cardiothoracic Surgery; 4/20/2021, Vol. 16 Issue 1, p1-10, 10p |
| مصطلحات موضوعية: |
TRICUSPID valve surgery, HEART assist devices, PROGNOSIS |
| مستخلص: |
Background: In this study, we evaluated the prevalence of tricuspid regurgitation (TR) worsening in patients with left ventricular assist devices (LVADs) and its impact on late right ventricular (RV) failure.Methods: We enrolled 147 patients of the 184 patients who underwent continuous-flow LVAD implantations from 2005 to March 2018. The prevalence of postoperative TR worsening and late RV failure were retrospectively evaluated.Results: Concomitant tricuspid annuloplasty (TAP) was performed in 28 of 41 patients (68%) with preoperative TR greater than or equal to moderate (TR group) and in 23 of 106 patients (22%) with preoperative TR less than or equal to mild (non-TR group). Regarding the TR-free rates, despite receiving or not receiving concomitant TAP, there was no significant difference between the 2 groups (TR group: p = 0.37; non-TR group: p = 0.42). Of the 9 patients with postoperative TR greater than or equal to moderate, late RV failure developed in 3 patients, with TR worsening after RV failure in each case. During follow-up, 16 patients (11%) had late RV failure. As for the late RV failure-free rates, despite receiving or not receiving concomitant TAP, there was no significant difference between the 2 groups (TR group: p = 0.37; non-TR group: p = 0.96).Conclusions: TR prognosis was preferable regardless of a patient receiving concomitant TAP; however, the presence of postoperative TR seemed to unrelated to late RV failure. Prophylactic TAP might not be necessary to prevent late RV failure. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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