Safety and efficacy of total thoracoscopic surgery for patients with tricuspid regurgitation and reduced right ventricular function after left heart valves replacement: a retrospective comparative study
In: BMC Cardiovascular Disorders, Jg. 23 (2023), Heft 1, S. 1-9
Online
academicJournal
Zugriff:
Abstract Background Tricuspid valve surgery is the standard treatment for tricuspid valve disease refractory to pharmacologic therapy. However, patients with tricuspid regurgitation after previous left heart valves replacement with reduced right ventricular (RV) function are at greater risk of surgery. We compared the clinical outcomes of tricuspid valve replacement in this subgroup of patients through mini-thoracotomy and conventional full-sternotomy approach. Methods We identified 44 patients at our institution with tricuspid regurgitation and reduced right ventricular function after left heart valves replacement who underwent either total thoracoscopic tricuspid valve replacement (T-TVR) or conventional tricuspid valve replacement (C-TVR) from December 2014 and May 2021. Patient clinical characteristics, hospital course, and postoperative changes in RV function were retrospectively reviewed and analyzed. Results Baseline characteristics between T-TVR (n = 25) and C-TVR (n = 19) were comparable including a high incidence of liver dysfunction and renal insufficiency. There were no statistically differences between the two groups in terms of hospital mortality (8.0% vs. 21.1%, P = .211). Patients in the T-TVR group had less total drainage volume (201.60 ± 77.05 ml vs. 614.74 ± 182.31 ml, p
Titel: |
Safety and efficacy of total thoracoscopic surgery for patients with tricuspid regurgitation and reduced right ventricular function after left heart valves replacement: a retrospective comparative study
|
---|---|
Autor/in / Beteiligte Person: | Lin, Zhiqin ; Xu, Zheng ; Chen, Xiujun ; Lin, Feng ; Chen, Liangwan ; Dai, Xiaofu |
Link: | |
Zeitschrift: | BMC Cardiovascular Disorders, Jg. 23 (2023), Heft 1, S. 1-9 |
Veröffentlichung: | BMC, 2023 |
Medientyp: | academicJournal |
ISSN: | 1471-2261 (print) |
DOI: | 10.1186/s12872-023-03428-z |
Schlagwort: |
|
Sonstiges: |
|