Tricuspid annuloplasty concomitant with mitral valve surgery: Effects on right ventricular remodeling Philippe B. Bertrand, MD, MSc, Gille Koppers, MSc,

Slides:

Advertisements

Similar presentations

Pathogenic structural heart changes in early tricuspid regurgitation

Advertisements

Aortic valve replacement in low-flow, low-gradient aortic stenosis: Left ventricular ejection fraction matters Victor Dayan, MD, PhD, Philippe Pibarot,

Can papillary muscle interventions improve mitral valve repair durability for ischemic mitral regurgitation? Christos G. Mihos, DO, Orlando Santana,

Left ventricular dysfunction after mitral valve repair—the fallacy of “normal” preoperative myocardial function Eduard Quintana, MD, Rakesh M. Suri,

Novel mechanism of mitral regurgitation after lung transplantation in a patient with scleroderma and pulmonary hypertension Christian A. Bermudez, MD,

Endoscopic Robotic Mitral Valve Surgery

Postoperative tricuspid regurgitation after adult congenital heart surgery is associated with adverse clinical outcomes Matthew J. Lewis, MD, MPH, Jonathan.

Cardiac support device, restrictive mitral valve annuloplasty, and optimized medical treatment: A multimodality approach to nonischemic cardiomyopathy

Right ventricular papillary muscle approximation as a novel technique of valve repair for functional tricuspid regurgitation in an ex vivo porcine model

Serial multidetector computed tomography assessment of left ventricular reverse remodeling, mass, and regional wall stress after restrictive mitral annuloplasty.

Valve repair improves the outcome of surgery for chronic severe aortic regurgitation: A propensity score analysis Christophe de Meester, MS, Agnès Pasquet,

Insufficiencies of downsizing ring annuloplasty in treatment of functional ischemic mitral regurgitation Murat Tavlasoglu, MD, Mustafa Kurkluoglu, MD,

Timing of valve repair for severe degenerative mitral regurgitation and long-term left ventricular function Takeshi Kitai, MD, Yukikatsu Okada, MD, Yu.

Building a bioartificial heart: A 3-song saga

Amine Mazine, MD, MSc, Subodh Verma, MD, PhD, Bobby Yanagawa, MD, PhD

A new approach: Ischemic mitral regurgitation guidelines by and for surgeons Patrick M. McCarthy, MD The Journal of Thoracic and Cardiovascular Surgery

Functional mitral stenosis after mitral valve repair is a true anatomic problem that originates from the time of surgery Vincent Chan, MD, MPH, Thierry.

Hassane Abdallah, MD, Alaae Boutayeb, MD, Gebrine El Khoury, PhD

How should we treat air leaks?

Left ventricular apical papillary fibroelastoma

Understanding right ventricular dysfunction and functional tricuspid regurgitation accompanying mitral valve disease Lina Maria Vargas Abello, MD, Allan.

The lord of the rings Antonio Miceli, MD, PhD

Baseline left ventricular function and surgical annular stiffening to predict outcome and reverse left ventricular remodeling after undersized annuloplasty.

Pathogenic structural heart changes in early tricuspid regurgitation

Right ventricular dysfunction affects survival after surgical left ventricular restoration Lotte E. Couperus, MD, Victoria Delgado, MD, PhD, Meindert.

Natural history of coexistent tricuspid regurgitation in patients with degenerative mitral valve disease: Implications for future guidelines Andrew B.

The variability of the mitral valve anatomy and terminology

Long-term outcome of patients on continuous-flow left ventricular assist device support Koji Takeda, MD, PhD, Hiroo Takayama, MD, PhD, Bindu Kalesan,

A near 100% repair rate for mitral valve prolapse is achievable in a reference center: Implications for future guidelines Javier G. Castillo, MD, Anelechi.

Tricuspid annular plane systolic excursion: The welcome parameter

Innovation and science: The future of valve design

The role of cognitive dissonance in the management of functional tricuspid regurgitation at the time of degenerative mitral valve repair Rakesh M. Suri,

Mitral valve repair in heart failure: Five-year follow-up from the mitral valve replacement stratum of the Acorn randomized trial Michael A. Acker, MD,

Clinical and hemodynamic influences of prophylactic tricuspid annuloplasty in mechanical mitral valve replacement Heemoon Lee, MD, Kiick Sung, MD, PhD,

Right ventricular failure after cardiac surgery: Why can't right ventricular assist device support fix the problem? Francis D. Pagani, MD, PhD The Journal.

Confusion still exists regarding postoperative delirium and its etiology after esophagectomy Robert B. Cameron, MD The Journal of Thoracic and Cardiovascular.

Acute hemodynamic effects of restrictive mitral annuloplasty in patients with end-stage heart failure: Analysis by pressure-volume relations Sven A.F.

Effect of the prosthesis–patient mismatch on long-term clinical outcomes after isolated aortic valve replacement for aortic stenosis: A prospective observational.

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

Transient right ventricular dysfunction caused by retractor during lower hemisternotomy mitral valve repair in a patient with pectus excavatum Homare.

Christopher M. Feindel, MD, MSc, Maral Ouzounian, MD, PhD

Tricuspid annuloplasty prevents right ventricular dilatation and progression of tricuspid regurgitation in patients with tricuspid annular dilatation.

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

Replicating the success of mitral valve repair in the aortic valve

Attachment disorder in thoracoabdominal surgery

Manuel J. Antunes, MD, PhD, DSc

St Jude Medical Regent valve

Commentary: Ongoing advancements in the understanding of tricuspid valve dynamics and functional geometry Daniel J.P. Burns, MD, MPhil The Journal of.

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Functional tricuspid pathology: To treat or not to treat

Warfarin or aspirin after mitral valve repair: Why work harder?

Hans-Joachim Schäfers, MD

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Severe tricuspid or mitral regurgitation in inoperable patients with aortic stenosis. Can we leave them alone? Juan A. Crestanello, MD The Journal of.

The future of cardiac surgery training: A survival guide

Ventricular assistant in restrictive cardiomyopathy: Making the right connection Robert D.B. Jaquiss, MD The Journal of Thoracic and Cardiovascular Surgery

Another case of underprovision of mitral valve repair surgery: Lessons from the Veterans Affairs health system Anelechi C. Anyanwu, MD, David H. Adams,

Tricuspid annulus diameter does not predict the development of tricuspid regurgitation after mitral valve repair for mitral regurgitation due to degenerative.

Early surgical intervention versus watchful waiting and outcomes for asymptomatic severe aortic regurgitation Christophe de Meester, MS, Bernhard L.

Commentary: Have mitral valve simulators made it to reality?

“The more things change…”: The challenges ahead

Managing conflicts of interest

Prophylactic tricuspid annuloplasty in patients with dilated tricuspid annulus undergoing mitral valve surgery Umberto Benedetto, MD, Giovanni Melina,

Preoperative PFTs: The answer is blowing in the wind

Chordal replacement with polytetrafluoroethylene sutures for mitral valve repair: A 25- year experience Tirone E. David, MD, Susan Armstrong, MSc, Joan.

Durability and clinical impact of tricuspid valve procedures in patients receiving a continuous-flow left ventricular assist device Jiho Han, BS, Koji.

Surgery for secondary tricuspid regurgitation: Rings, bands, or sutures, does it matter? Manuel J. Antunes, MD The Journal of Thoracic and Cardiovascular.

Marc Gillinov, MD, Per Wierup, MD, PhD, Stephanie Mick, MD

Zipping up after a median sternotomy: Are we at the end of the wire?

Presentation transcript:

Tricuspid annuloplasty concomitant with mitral valve surgery: Effects on right ventricular remodeling Philippe B. Bertrand, MD, MSc, Gille Koppers, MSc, Frederik H. Verbrugge, MD, Wilfried Mullens, MD, PhD, Pieter Vandervoort, MD, Robert Dion, MD, PhD, David Verhaert, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 4, Pages 1256-1264 (April 2014) DOI: 10.1016/j.jtcvs.2013.05.007 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Study flow chart. RV, Right ventricular; TVP, tricuspid valve annuloplasty; LV, left ventricular. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 1256-1264DOI: (10.1016/j.jtcvs.2013.05.007) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Echocardiographic indices of RV geometry and function at baseline and after 5 months of follow-up in the TVP and control group (left column), and subdivided within the TVP group according to the indication for TVP (right column). CI, Confidence interval; TVP, tricuspid valve annuloplasty; TR, tricuspid regurgitation; RVSI, right ventricular sphericity index; RVEDA, right ventricular end-diastolic area; RVFAC, right ventricular fractional area change. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 1256-1264DOI: (10.1016/j.jtcvs.2013.05.007) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Relative postoperative changes in RVEDA and RVFAC in the TVP and control group. Within the TVP group, dotted areas indicate patients with baseline more than moderate TR, whereas monochromatic areas indicate patients with isolated TAD. RVEDA, Right ventricular end-diastolic area; RVFAC, right ventricular fractional area change; TVP, tricuspid valve annuloplasty; TR, tricuspid regurgitation; TAD, tricuspid annular dilation. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 1256-1264DOI: (10.1016/j.jtcvs.2013.05.007) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions