Analysis of Mild Functional Tricuspid Regurgitation in Patients with Mitral Stenosis and Mitral Regurgitation

2015 ◽  
Vol 5 (4) ◽  
pp. 807-813
Author(s):  
Xiliang Zhu ◽  
Zhigang Huang ◽  
Ming-Fa Hsieh ◽  
Qian Li ◽  
Xijun Xiao ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Tricuspid Regurgitation ◽  
Mitral Stenosis ◽  
Functional Tricuspid Regurgitation

scholarly journals The role of left atrial strain in patients with functional tricuspid regurgitation before and after annuloplasty: a long-term follow-up study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Qing-long Meng ◽  
Hong Meng ◽  
Jia Tao ◽  
Shu Yang ◽  
Hao Wang
Keyword(s):  
Tricuspid Regurgitation ◽  
Mitral Stenosis ◽  
Left Atrial ◽  
Pearson Correlation ◽  
Characteristic Curve ◽  
Control Group ◽  
Rheumatic Mitral Stenosis ◽  
Functional Tricuspid Regurgitation

Abstract Background Functional tricuspid regurgitation (TR) is common among patients with left heart disease and may recur during the follow-up period after selective tricuspid valve annuloplasty (TVA). This study aims to analyse the relationship between left atrial (LA) strain and the degree of preoperative functional TR and to explore the role of LA strain in predicting TR recurrence. Methods This study included 63 patients with rheumatic mitral stenosis who underwent mitral valve replacement and concomitant TVA. Additionally, 20 healthy controls were enrolled. Preoperative conventional LA echocardiographic parameters and LA strain were measured. The association between LA strain and preoperative functional TR severity was analysed by Pearson correlation. Predictors of recurrent TR were determined by multivariate logistic regression analyses. Results Compared with the control group, the mitral stenosis group developed a significant impairment in terms of LA strain. The degree of preoperative functional TR exhibited moderate correlations with LA reservoir strain (r = − 0.57) and LA conduit strain (r = 0.48). During a median follow-up period of 66.4 ± 36.4 months, TR recurred in 18 patients. Preoperative LA reservoir strain and the mean transmitral gradient were predictors of postoperative TR recurrence. When the two indexes were combined to establish a prediction, the sensitivity and specificity of prediction increased. The area under the receiver operating characteristic curve of the combined indicator was higher than those of the single indicators (0.90 vs. 0.70 and 0.72). Conclusions LA strain correlates with preoperative functional TR severity in patients with rheumatic mitral stenosis. The LA reservoir strain and preoperative mean transmitral gradient are independent predictive factors for recurrent TR after TVA.

Tricuspid regurgitation masquerading as mitral regurgitation in patients with pure mitral stenosis

1958 ◽  
Vol 25 (2) ◽  
pp. 224-230 ◽  
Author(s):  
Joseph F. Uricchio ◽  
Lamberto Bentivoglio ◽  
Richard Gilman ◽  
William Likoff
Keyword(s):  
Mitral Regurgitation ◽  
Tricuspid Regurgitation ◽  
Mitral Stenosis

scholarly journals Progression of Tricuspid Regurgitation After Repaired Functional Ischemic Mitral Regurgitation

Circulation ◽  
2005 ◽  
Vol 112 (9_supplement) ◽  
Author(s):  
Akira Matsunaga ◽  
Carlos M. G. Duran
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Tricuspid Regurgitation ◽  
De Novo ◽  
Ischemic Mitral Regurgitation ◽  
Tricuspid Annulus ◽  
Valve Repair ◽  
Functional Tricuspid Regurgitation ◽  
Cardiac Lesions

Background— Despite correction of left-sided cardiac lesions, associated functional tricuspid regurgitation (TR) that was surgically ignored can persist. It can also appear de novo. The aim of this study was to analyze TR in a group of patients who underwent successful revascularization and mitral valve repair (MVRep) for functional ischemic mitral regurgitation (MR). Methods and Results— Among 124 consecutive patients with MVRep, 70 left the operating room with MR ≤1+ and had a preoperative and follow-up transthoracic echocardiogra. Moderate or greater MR or TR was considered significant. Twenty-one patients (30%) had TR before surgery, and only 9 had TR repaired. The postoperative incidence of residual TR was not significantly different whether the tricuspid valve had been repaired (4 of 9 [44%]) or surgically ignored (8 of 12 [67%]). At last follow-up, 34 patients (49%) had significant TR. The incidence of TR increased from 25% at <1 year to 53% between 1 and 3 years and 74% at >3 years. Absence or presence of recurrent MR did not significantly affect TR (14 of 22 [64%] with MR versus 20 of 48 [42%] with no MR). Preoperative and postoperative tricuspid annulus size in patients with late TR was significantly larger than in patients without TR. Conclusions— Functional TR is frequently associated with functional ischemic MR. After MVRep, close to 50% of patients have TR. The incidence of postoperative TR increases with time. Preoperative tricuspid annulus dilation might be a predictor of late TR.

scholarly journals Cardiac and extra-cardiac pathologies in patients with acute arterial occlusion

2019 ◽  
Vol 65 (11) ◽  
pp. 1368-1373
Author(s):  
Mehmet Ali Kaygin ◽  
Umit Halici ◽  
Mehmet Tort ◽  
Ziya Yildiz ◽  
Ozgur Dag
Keyword(s):  
Atrial Fibrillation ◽  
Mitral Regurgitation ◽  
Aortic Stenosis ◽  
Tricuspid Regurgitation ◽  
Mitral Stenosis ◽  
Arterial Occlusion ◽  
Acute Arterial Occlusion ◽  
Abdominal Aortic ◽  
Study Results ◽  
Artery Disease

SUMMARY OBJECTIVE: We aimed to investigate cardiac and extra-cardiac pathologies in patients who were operated for acute arterial occlusion. METHODS: Between March 2010 and March 2018, a total of 120 patients who underwent surgical treatment for acute arterial occlusion were included in this retrospective study. RESULTS: 84 (70%) and 27 (22. 5%) of the patients had cardiac and extra-cardiac pathologies, respectively. In 9 (7. 5%) of the cases, no reason for arterial occlusion could be found. Pure atrial fibrillation was found in 39 (32. 5%) patients. Atrial fibrillation and cardiac valvular pathologies were detected in 45 patients (37. 5%). Among those with a cardiac valvular pathology, 9 patients (7. 5%) had pure mitral stenosis, 21 patients (17. 5%) had moderate to advanced mitral stenosis with tricuspid regurgitation, 9 patients (7. 5%) had 20-30 mitral regurgitation with 30 tricuspid regurgitation, 3 patients (2. 5%) had moderate mitral stenosis, 30-40 tricuspid regurgitation and 20-30 aortic stenosis, and 3 patients (2. 5%) had 30 mitral regurgitation, 10- 20 tricuspid regurgitation, calcific moderate aortic stenosis, and coronary artery disease. Among those 27 patients with an extra-cardiac pathology, 21 patients (22. 5%) had peripheral artery disease, 3 patients (2.5%) had an abdominal aortic aneurysm, and 3 patients (2. 5%) had Behçet's Disease. CONCLUSION: Cardiac and extra-cardiac pathologies should be kept in mind in patients with acute arterial occlusion. Thus, detected pathologies could be treated, and the development of additional peripheral emboli could be prevented.

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