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Development of tricuspid regurgitation late after left-sided valve surgery: a single-center experience with long-term echocardiographic examinations
DC Field | Value | Language |
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dc.contributor.author | Kwak, Jae-Jin | - |
dc.contributor.author | Kim, Yong-Jin | - |
dc.contributor.author | Kim, Min-Kyung | - |
dc.contributor.author | Kim, Hyung-Kwan | - |
dc.contributor.author | Park, Jin-Shik | - |
dc.contributor.author | Kim, Kyung-Hwan | - |
dc.contributor.author | Kim, Ki-Bong | - |
dc.contributor.author | Ahn, Hyuk | - |
dc.contributor.author | Sohn, Dae-Won | - |
dc.contributor.author | Oh, Byung-Hee | - |
dc.contributor.author | Park, Young-Bae | - |
dc.date.accessioned | 2010-03-11T07:38:39Z | - |
dc.date.available | 2010-03-11T07:38:39Z | - |
dc.date.issued | 2008-03-29 | - |
dc.identifier.citation | Am Heart J. 2008 Apr;155(4):732-7. Epub 2008 Feb 21. | en |
dc.identifier.issn | 1097-6744 (Electronic) | - |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=18371484 | - |
dc.identifier.uri | http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6W9H-4RWK08F-8-5&_cdi=6683&_user=168665&_orig=search&_coverDate=04%2F30%2F2008&_sk=998449995&view=c&wchp=dGLbVzz-zSkzV&md5=3459d7ebd58b8d1d85e929859335714c&ie=/sdarticle.pdf | - |
dc.identifier.uri | https://hdl.handle.net/10371/60109 | - |
dc.description.abstract | OBJECTIVES: This study sought to investigate the incidence and identify the predictors of significant tricuspid regurgitation (TR) development long after left-sided valve surgery. METHODS: Of 615 patients who underwent surgery for left-sided valve disease between 1992 and 1995, 335 patients without significant TR who completed at least 5 years of clinical and echocardiographic follow-up were enrolled. Late significant TR development was assessed by echocardiography with a mean follow-up duration of 11.6 +/- 2.1 years. RESULTS: Significant late TR was found in 90 patients (26.9%). Patients with late TR showed an advanced age (47.6 +/- 13.4 vs 44.3 +/- 13.2 years, P = .04), a higher prevalence of preoperative atrial fibrillation (83.3 vs 46.5%, P < .001), a greater left atrial dimension (56.9 +/- 13.2 vs 52.4 +/- 11.5 mm, P = .006), and a higher prevalence of prior valve surgery (40.0 vs 25.3%, P = .01). In addition, late TR occurred more frequently in patients who had undergone mitral valve surgery than in those who did not (93.3 vs 72.2%, P < .001). However, multivariate analysis showed that the presence of preoperative atrial fibrillation (odds ratio 5.37; 95% CI 2.71-10.65; P < .001) was the only independent factor of late TR development. Patients who developed late TR had a lower event-free survival rate than those who did not (P = .03). CONCLUSIONS: The development of significant TR long after left-sided valve surgery is not uncommon with an estimated incidence of 27% and is closely associated with a poor prognosis. The presence of preoperative atrial fibrillation was identified as the only independent predictor of the development of late TR. | en |
dc.language.iso | en | en |
dc.publisher | Elsevier | en |
dc.subject | Adolescent | en |
dc.subject | Adult | en |
dc.subject | Aged | en |
dc.subject | Aged, 80 and over | en |
dc.subject | Aortic Valve/surgery | en |
dc.subject | Atrial Fibrillation/complications | en |
dc.subject | Disease-Free Survival | en |
dc.subject | Echocardiography | en |
dc.subject | Female | en |
dc.subject | Female | en |
dc.subject | Heart Valve Diseases/*surgery | en |
dc.subject | Humans | en |
dc.subject | Incidence | en |
dc.subject | Logistic Models | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Mitral Valve/surgery | en |
dc.subject | Multivariate Analysis | en |
dc.subject | Preoperative Care | en |
dc.subject | Risk Factors | en |
dc.subject | Stroke Volume | en |
dc.subject | Time Factors | en |
dc.subject | Tricuspid Valve Insufficiency/epidemiology/*etiology | en |
dc.subject | Postoperative Complications/epidemiology | - |
dc.title | Development of tricuspid regurgitation late after left-sided valve surgery: a single-center experience with long-term echocardiographic examinations | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 곽재진 | - |
dc.contributor.AlternativeAuthor | 김용진 | - |
dc.contributor.AlternativeAuthor | 김민경 | - |
dc.contributor.AlternativeAuthor | 김형관 | - |
dc.contributor.AlternativeAuthor | 박진식 | - |
dc.contributor.AlternativeAuthor | 김경환 | - |
dc.contributor.AlternativeAuthor | 김기봉 | - |
dc.contributor.AlternativeAuthor | 안혁 | - |
dc.contributor.AlternativeAuthor | 손대원 | - |
dc.contributor.AlternativeAuthor | 오병희 | - |
dc.contributor.AlternativeAuthor | 박영배 | - |
dc.identifier.doi | 10.1016/j.ahj.2007.11.010 | - |
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