Impact of tricuspid regurgitation severity and repair on aortic valve replacement
Producción Científica
| Autores: | , , , , , , , , |
|---|---|
| Formato: | artículo |
| Fecha de publicación: | 2022 |
| País: | España |
| Recursos: | Universidad de Valladolid |
| Repositorio: | UVaDOC. Repositorio Documental de la Universidad de Valladolid |
| OAI Identifier: | oai:uvadoc.uva.es:10324/81747 |
| Acesso em linha: | https://doi.org/doi: 10.1016/j.athoracsur.2021.03.102 https://uvadoc.uva.es/handle/10324/81747 |
| Access Level: | acceso abierto |
| Palavra-chave: | Aortic valve - Stenosis Corazón - Vàlvulas - Enfermedad Aortic valve - Surgery Corazón - Enfermedades Cardiology Surgery 3213 Cirugía 3205.01 Cardiología |
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Impact of tricuspid regurgitation severity and repair on aortic valve replacementBustamante Munguira, JuanÁlvarez, PabloRomero, BernatMuñoz Guijosa, ChristianCamara, MarisaVallejo, NuriaLopez Ayerbe, JorgeCoca Rojo, ArmandoFiguerola Tejerina, AngelsAortic valve - StenosisCorazón - Vàlvulas - EnfermedadAortic valve - SurgeryCorazón - EnfermedadesCardiologySurgery3213 Cirugía3205.01 CardiologíaProducción CientíficaBackground: Aortic stenosis is one of the most prevalent valve diseases but is rarely accompanied by tricuspid regurgitation. Our objective was to analyze the impact of tricuspid regurgitation severity and its surgical treatment on prognosis of patients undergoing aortic valve replacement. Methods: This was a retrospective cohort study including all patients presenting with aortic stenosis with some degree of tricuspid regurgitation between 2001 and 2018. Patients were grouped according to the degree of tricuspid regurgitation. Results: From a sample of 8080 patients with aortic stenosis, 143 (1.8%) presented with more than trace tricuspid regurgitation. Among patients with mild, moderate, or severe tricuspid regurgitation, we observed no differences in 30-day (15.1% vs 14.8% vs 8.7%; P = .727), 12-month (51.2% vs 56% vs 55%; P = .892), or 5-year (64% vs 73.3% vs 66.7%; P = .798) survival. Aortic valve replacement plus tricuspid annuloplasty, when compared with aortic valve replacement only was associated with longer intensive care unit stay (9 vs 3 days; P = .043) but not higher 30-day (0% vs 15.5%; P = .112), 12-month (38.5% vs 54.3%; P = .278), or 5-year mortality (57.1% vs 67.1%; P = .594). Only history of liver disease and postoperative major morbidity were independent predictors of survival 30 days, 12 months and 5 years after surgery. Conclusions: Severity of tricuspid regurgitation in patients with aortic stenosis was not associated with increased mortality. Tricuspid annuloplasty did not improve survival in this subset of patients but was associated with increased postoperative morbidity.Elsevier Inc.2022info:eu-repo/semantics/articlehttps://www.annalsthoracicsurgery.org/article/S0003-4975(21)00739-6/fulltextapplication/pdfhttps://doi.org/doi: 10.1016/j.athoracsur.2021.03.102https://uvadoc.uva.es/handle/10324/81747reponame:UVaDOC. Repositorio Documental de la Universidad de Valladolidinstname:Universidad de ValladolidInglésinfo:eu-repo/semantics/openAccessoai:uvadoc.uva.es:10324/817472026-06-13T12:44:47Z |
| dc.title.none.fl_str_mv |
Impact of tricuspid regurgitation severity and repair on aortic valve replacement |
| title |
Impact of tricuspid regurgitation severity and repair on aortic valve replacement |
| spellingShingle |
Impact of tricuspid regurgitation severity and repair on aortic valve replacement Bustamante Munguira, Juan Aortic valve - Stenosis Corazón - Vàlvulas - Enfermedad Aortic valve - Surgery Corazón - Enfermedades Cardiology Surgery 3213 Cirugía 3205.01 Cardiología |
| title_short |
Impact of tricuspid regurgitation severity and repair on aortic valve replacement |
| title_full |
Impact of tricuspid regurgitation severity and repair on aortic valve replacement |
| title_fullStr |
Impact of tricuspid regurgitation severity and repair on aortic valve replacement |
| title_full_unstemmed |
Impact of tricuspid regurgitation severity and repair on aortic valve replacement |
| title_sort |
Impact of tricuspid regurgitation severity and repair on aortic valve replacement |
| dc.creator.none.fl_str_mv |
Bustamante Munguira, Juan Álvarez, Pablo Romero, Bernat Muñoz Guijosa, Christian Camara, Marisa Vallejo, Nuria Lopez Ayerbe, Jorge Coca Rojo, Armando Figuerola Tejerina, Angels |
| author |
Bustamante Munguira, Juan |
| author_facet |
Bustamante Munguira, Juan Álvarez, Pablo Romero, Bernat Muñoz Guijosa, Christian Camara, Marisa Vallejo, Nuria Lopez Ayerbe, Jorge Coca Rojo, Armando Figuerola Tejerina, Angels |
| author_role |
author |
| author2 |
Álvarez, Pablo Romero, Bernat Muñoz Guijosa, Christian Camara, Marisa Vallejo, Nuria Lopez Ayerbe, Jorge Coca Rojo, Armando Figuerola Tejerina, Angels |
| author2_role |
author author author author author author author author |
| dc.subject.none.fl_str_mv |
Aortic valve - Stenosis Corazón - Vàlvulas - Enfermedad Aortic valve - Surgery Corazón - Enfermedades Cardiology Surgery 3213 Cirugía 3205.01 Cardiología |
| topic |
Aortic valve - Stenosis Corazón - Vàlvulas - Enfermedad Aortic valve - Surgery Corazón - Enfermedades Cardiology Surgery 3213 Cirugía 3205.01 Cardiología |
| description |
Producción Científica |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article https://www.annalsthoracicsurgery.org/article/S0003-4975(21)00739-6/fulltext |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://doi.org/doi: 10.1016/j.athoracsur.2021.03.102 https://uvadoc.uva.es/handle/10324/81747 |
| url |
https://doi.org/doi: 10.1016/j.athoracsur.2021.03.102 https://uvadoc.uva.es/handle/10324/81747 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
Elsevier Inc. |
| publisher.none.fl_str_mv |
Elsevier Inc. |
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reponame:UVaDOC. Repositorio Documental de la Universidad de Valladolid instname:Universidad de Valladolid |
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Universidad de Valladolid |
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UVaDOC. Repositorio Documental de la Universidad de Valladolid |
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UVaDOC. Repositorio Documental de la Universidad de Valladolid |
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15,811543 |