TY - JOUR
T1 - Impact of Isolated Tricuspid Valve Repair on Right Ventricular Remodelling in an Adult Congenital Heart Disease Population
AU - Marsico, Roberto
AU - Bruno, Vito
AU - Chivasso, Pierpaolo
AU - Baritussio, Anna
AU - Rapetto, Filippo
AU - Guida, Gustavo
AU - Benedetto, Umberto
AU - Caputo, Massimo
PY - 2017/4/28
Y1 - 2017/4/28
N2 - Background: Surgical repair of isolated congenital tricuspid valve (TV) disease is rare with no well-defined indication and outcomes. Moreover, the role of right ventricle (RV) in this context has not yet been investigated. Objectives: We sought to assess the impact of congenital TV repair on cardiac remodelling and clinical-functional status and the importance of the RV function in an adult congenital heart disease (ACHD) population. Methods and Results: From January 2005 to December 2015, 304 patients underwent TV surgery in our centre. Of these, 27 (ACHD) patients had isolated TV repair. Patients were evaluated with preoperative and post-operative trans-thoracic echocardiogram. Survival rate has been investigated with a mean clinical follow-up of 3.7 ± 2.3 years while the mean echocardiographic follow-up was 2.9 ± 1.8 years. The clinical and functional status of patients showed a statistically significant improvement after the surgical repair in terms of NYHA class (66.7% vs 7.4%; p
AB - Background: Surgical repair of isolated congenital tricuspid valve (TV) disease is rare with no well-defined indication and outcomes. Moreover, the role of right ventricle (RV) in this context has not yet been investigated. Objectives: We sought to assess the impact of congenital TV repair on cardiac remodelling and clinical-functional status and the importance of the RV function in an adult congenital heart disease (ACHD) population. Methods and Results: From January 2005 to December 2015, 304 patients underwent TV surgery in our centre. Of these, 27 (ACHD) patients had isolated TV repair. Patients were evaluated with preoperative and post-operative trans-thoracic echocardiogram. Survival rate has been investigated with a mean clinical follow-up of 3.7 ± 2.3 years while the mean echocardiographic follow-up was 2.9 ± 1.8 years. The clinical and functional status of patients showed a statistically significant improvement after the surgical repair in terms of NYHA class (66.7% vs 7.4%; p
KW - Tricuspid valve repair
KW - Adult congenital heart disease
KW - ACHD
KW - Echocardiography
KW - right ventricular dysfunction
KW - ventricular reverse remodeling
UR - https://www.frontiersin.org/article/10.3389/fcvm.2017.00021
U2 - 10.3389/fcvm.2017.00021
DO - 10.3389/fcvm.2017.00021
M3 - Article (Academic Journal)
C2 - 28503552
SN - 2297-055X
VL - 4
JO - Frontiers in Cardiovascular Medicine
JF - Frontiers in Cardiovascular Medicine
M1 - 21
ER -