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Tricuspid Regurgitation Associated With Ischemic Mitral Regurgitation: Characterization, Evolution After Mitral Surgery, and Value of Tricuspid Repair 

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Presentation on theme: "Tricuspid Regurgitation Associated With Ischemic Mitral Regurgitation: Characterization, Evolution After Mitral Surgery, and Value of Tricuspid Repair "— Presentation transcript:

1 Tricuspid Regurgitation Associated With Ischemic Mitral Regurgitation: Characterization, Evolution After Mitral Surgery, and Value of Tricuspid Repair  José L. Navia, MD, Haytham Elgharably, MD, Hoda Javadikasgari, MD, Ahmed Ibrahim, MD, MS, Marijan Koprivanac, MD, Ashley M. Lowry, MS, Eugene H. Blackstone, MD, Allan L. Klein, MD, A. Marc Gillinov, MD, Eric E. Roselli, MD, Lars G. Svensson, MD, PhD  The Annals of Thoracic Surgery  Volume 104, Issue 2, Pages (August 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Nature of tricuspid regurgitation (TR) associated with ischemic mitral regurgitation. For box and whiskers plots, box contains 50% of data points (25th and 75th percentiles), horizontal bar within box is median value and red dot, the mean; whiskers represent at least 95% of the data, and black dots are beyond the 95% whiskers. (A) Tricuspid regurgitation and tricuspid valve (TV) diameter in diastole. (B) Tricuspid regurgitation and tenting area. (C) Tricuspid regurgitation and right atrial area. (D) Tricuspid regurgitation and estimated right ventricular pressure. (E) Tricuspid regurgitation and tricuspid anular plane systolic excursion (TAPSE). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Time course of tricuspid regurgitation (TR) after mitral valve surgery for ischemic mitral regurgitation. Note: all lines sum to 100% at each point. (A) Tricuspid regurgitation among patients with grade no TR preoperatively and no concomitant tricuspid valve (TV) repair. (B) Tricuspid regurgitation among patients with moderate TR preoperatively and no concomitant TV repair. (C) Tricuspid regurgitation among patients with moderate TR preoperatively who underwent concomitant TV repair. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Time course of tricuspid regurgitation (TR) after mitral valve surgery for ischemic mitral regurgitation. Dotted line extends from large filled circle for percent preoperative (Preop) TR grade. Filled circles represent grouped raw data without regard to repeated measures to provide a crude verification of longitudinal model fit. Note: All lines sum to 100% at each time point. (A) Tricuspid regurgitation among patients with no concomitant tricuspid valve (TV) repair. (B) Tricuspid regurgitation among patients with concomitant TV repair. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions


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