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首页> 外文期刊>Journal of cardiac surgery. >Determinants of recurrent tricuspid regurgitation following tricuspid valve annuloplasty during mitral valve surgery
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Determinants of recurrent tricuspid regurgitation following tricuspid valve annuloplasty during mitral valve surgery

机译：三尖瓣瓣膜瓣膜瓣膜瓣膜瓣膜瓣膜瓣膜瓣膜瓣膜瓣膜瓣膜瓣膜瓣膜外科

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Abstract Background The purpose of this study was to determine risk predictors for recurrent tricuspid regurgitation (TR) following tricuspid valve annuloplasty during mitral valve surgery. Methods Ninety‐eight consecutive patients underwent tricuspid valve annuloplasty concomitant with mitral valve repair (71 patients), replacement (16 patients), or other procedures over a 10‐year period. Fifty‐seven patients underwent surgery with a flexible band and 41 with a rigid ring. Results Late TR progression (≥2/4) occurred in eight (14.0%) of flexible band patients, and in nine (22.0%) rigid ring patients. Multivariate analysis did not identify the superiority of one annuloplasty device over the other to prevent recurrent TR. Multivariate risk predictors of late TR progression were late atrial fibrillation (hazard ratio [HR]: 3.78; 95% confidence interval [CI]: 1.19‐12.0), and recurrent mitral regurgitation; HR; 4.46; 95%CI; 1.52‐13.1). Freedom from TR progression at 5 years was 89.2% in atrial fibrillation‐free patients compared to 56.8% in those with atrial fibrillation (log‐rank, P ?=?0.018), and 89.8% in mitral regurgitation‐free patients compared to 55.3% in those with recurrent mitral regurgitation (log‐rank, P ?=?0.003). Conclusions A durable mitral valve repair and preservation of sinus rhythm are the keys to preventing late TR progression.
机译：摘要背景本研究的目的是在二尖瓣手术期间，确定三尖瓣瓣膜瓣膜成形术后的复发三刺瓣反流（TR）的风险预测因子。方法九十八条连续患者接受三尖瓣瓣膜成形术伴随二尖瓣修复（71名患者），更换（16名患者）或其他10年期间的其他程序。五十七名患者接受手术，柔性带和41带刚性环。结果已故TR进展（≥2/ 4）发生在八（14.0％）的柔性带患者中，九（22.0％）刚性环患者。多变量分析未识别一个环形成形术设备的优越性，以防止反复性TR。晚期TR进展的多变量风险预测因子是晚期心房颤动（危险比[HR]：3.78; 95％置信区间[CI]：1.19-12.0）和复发二尖瓣流动; HR; 4.46; 95％CI; 1.52-13.1）。在5岁处的TR进展的自由在心房纤维化患者中的89.2％，而心房颤动的患者的56.8％（LOG-RANK，P？= 0.018），有二立角无限患者的89.8％相比55.3％在那些复发二尖瓣反流的（对数秩，P？= 0.003）。结论耐用的二尖瓣修复和保存窦性心律是防止后期TR进展的键。

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