Concomitant Tricuspid Repair in Patients with Degenerative Mitral Regurgitation
27 January 2022
| Tricuspid regurgitation is common in patients with severe degenerative mitral regurgitation. However, the evidence base is insufficient to inform a decision about whether to perform tricuspid-valve repair during mitral-valve surgery in patients who have moderate tricuspid regurgitation or less-than-moderate regurgitation with annular dilatation. | |
| Among patients undergoing mitral-valve surgery, those who also received tricuspid annuloplasty had a lower incidence of a primary-end-point event than those who underwent mitral-valve surgery alone at 2 years, a reduction that was driven by less frequent progression to severe tricuspid regurgitation. Tricuspid repair resulted in more frequent permanent pacemaker implantation. Whether reduced progression of tricuspid regurgitation results in long-term clinical benefit can be determined only with longer follow-up. | |
| Author(s) | Source |
| Gammie JS, CHU MWA, Falk V et al. | N Engl J Med 2022; 386:327-339 DOI: 10.1056/NEJMoa2115961 January 27, 2022 |
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