Kara Ibrahim, Koksal Cengiz, Erkin Alper, Sacli Hakan, Demirtas Mucahit, Percin Bilal, Diler Mevriye Serpil, Kirali Kaan
Department of Cardiovascular Surgery, Sakarya University, Faculty of Medicine, Sakarya, Turkey.
Department of Cardiovascular Surgery, Kartal Kosuyolu Research and Training Hospital, Kartal, Istanbul, Turkey.
Ann Thorac Surg. 2015 Dec;100(6):2398-407. doi: 10.1016/j.athoracsur.2015.07.024. Epub 2015 Oct 31.
This meta-analysis examined the prognosis of patients who were found to have mild to moderate functional tricuspid regurgitation during mitral valve operations. Overall, this meta-analysis included 2,488 patients in 10 studies. Compared with the group without tricuspid valve annuloplasty, the probability of not progressing to moderate to severe functional tricuspid regurgitation was significantly higher in the tricuspid valve annuloplasty group. A more aggressive surgical approach involving concomitant tricuspid repair with mitral valve operations may be considered to avoid the development of moderate to severe functional tricuspid regurgitation in the follow-up.
这项荟萃分析研究了在二尖瓣手术中被发现有轻至中度功能性三尖瓣反流患者的预后情况。总体而言，这项荟萃分析纳入了10项研究中的2488例患者。与未进行三尖瓣环成形术的组相比，三尖瓣环成形术组中未进展至中度至重度功能性三尖瓣反流的概率显著更高。对于二尖瓣手术同时进行三尖瓣修复的更积极手术方法可考虑用于避免随访中出现中度至重度功能性三尖瓣反流。
