Impact of Isolated Tricuspid Valve Repair on Right Ventricular Remodelling in an Adult Congenital Heart Disease Population

Roberto Marsico, Vito Bruno, Pierpaolo Chivasso, Anna Baritussio, Filippo Rapetto, Gustavo Guida, Umberto Benedetto, Massimo Caputo

Research output: Contribution to journalArticle (Academic Journal)peer-review

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Abstract

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
Original languageEnglish
Article number21
Number of pages1
JournalFrontiers in Cardiovascular Medicine
Volume4
DOIs
Publication statusPublished - 28 Apr 2017

Keywords

  • Tricuspid valve repair
  • Adult congenital heart disease
  • ACHD
  • Echocardiography
  • right ventricular dysfunction
  • ventricular reverse remodeling

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