Authors: Guohua Wang Zongquan Sun Jiahong Xia Yongzhi Deng Jiajun Chen Gang Su Youli Ke
Publish Date: 2008/08/28
Volume: 38, Issue: 9, Pages: 778-783
Abstract
Two hundred and fortyeight patients including 217 patients in the LSVR group and 31 patients in the LSVR+DeVega group were followed up A retrospective analysis was performed on 14 characteristics in the LSVR group Variables were used to evaluate predictors of TR progression after single LSVR by either a univariate or multivariate analysis DeVega’s tricuspid annuloplasty was evaluated on progress of TR by univariate analysisThe mean followup was 52 ± 29 range 3–16 years after surgery In a univariate analysis atrial fibrillation huge left atrium long time from onset to surgery tricuspid rheumatic changes preoperative +2 or +3 TR the degradation of left ventricular ejection fraction augmented right atrium and single mitral valvular disease were significant risk factors for TR development A multivariate analysis indicated that the four items mentioned above were statistically significant predictors of TR after surgery The progress of TR in the LSVR+DeVega group was significantly less than in the LSVR groupAn aggressive repair of accompanying TR should be performed at the time of initial surgery in patients with a huge left atrium atrial fibrillation long time from onset to surgery or tricuspid rheumatic changes DeVega’s tricuspid annuloplasty therefore helps prevent a progression of TR
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