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Late tricuspid regurgitation and right ventricular remodeling after tricuspid annuloplasty.
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  • Antonio Calafiore,
  • Roberto Lorusso,
  • Hatim Kheirallah ,
  • Mojtaba Alsaied,
  • Juan Alfonso,
  • Angela Di Baldassarre,
  • Sabina Gallina,
  • Mario Gaudino,
  • Michele Di Mauro
Antonio Calafiore
John Paul II Foundation for Research and Treatment
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Roberto Lorusso
Maastricht University
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Hatim Kheirallah
Prince Sultan Cardiac Center
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Mojtaba Alsaied
Prince Sultan Cardiac Center
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Juan Alfonso
Prince Sultan Cardiac Center
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Angela Di Baldassarre
Università degli Studi Gabriele d'Annunzio Chieti Pescara Scuola di Medicina e Scienze della Salute
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Sabina Gallina
Università degli Studi Gabriele d'Annunzio Chieti Pescara Scuola di Medicina e Scienze della Salute
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Mario Gaudino
NewYork-Presbyterian Hospital/Weill Cornell Medical Center
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Michele Di Mauro
Maastricht UMC+
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Abstract

Background. We sought to determine the relationship between tricuspid right ventricular (RV) and tricuspid valve (TV) remodeling and late failure of tricuspid annuloplasty. Methods. From May 2009 to December 2015, 423 patients undergoing tricuspid annuloplasty (TA) for functional TR at a single were analyzed. Residual TR was defined TR moderate-or-more at discharge. Recurrent TR was defined TR-moderate-or-more at follow up. RV remodeling was defined RV dysfunction and/or dilatation. Results. Residual TR after TA was recorded in 54. Five-year freedom from TR recurrence was 86.3±2.3% for patients without residual TR vs 57.6±7.6% for patients with residual TR, p<0.001. Evaluating late results of 369 patients without residual TR, following risk factors were identified: preoperative pulmonary pressure, pre RV remodeling, pre TR and TV remodeling, functional mitral regurgitation. Conclusions. Prophylactic tricuspid annuloplasty should be encouraged among surgeons. TA at the time of left-sided valve surgery should take into consideration not only annular size, but also tethering severity and RV remodeling.

Peer review status:ACCEPTED

18 Apr 2020Submitted to Journal of Cardiac Surgery
20 Apr 2020Submission Checks Completed
20 Apr 2020Assigned to Editor
21 Apr 2020Reviewer(s) Assigned
30 Apr 2020Review(s) Completed, Editorial Evaluation Pending
30 Apr 2020Editorial Decision: Revise Minor
15 May 20201st Revision Received
16 May 2020Submission Checks Completed
16 May 2020Assigned to Editor
16 May 2020Reviewer(s) Assigned
19 May 2020Review(s) Completed, Editorial Evaluation Pending
19 May 2020Editorial Decision: Revise Minor
23 May 20202nd Revision Received
23 May 2020Submission Checks Completed
23 May 2020Assigned to Editor
23 May 2020Reviewer(s) Assigned
25 May 2020Review(s) Completed, Editorial Evaluation Pending
25 May 2020Editorial Decision: Revise Minor
30 May 20203rd Revision Received
30 May 2020Assigned to Editor
30 May 2020Submission Checks Completed
30 May 2020Reviewer(s) Assigned
04 Jun 2020Review(s) Completed, Editorial Evaluation Pending
04 Jun 2020Editorial Decision: Accept