JTCS Medtronic Endurant
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Wong, M.
Right arrow Articles by Omoto, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Wong, M.
Right arrow Articles by Omoto, R.

The Journal of Thoracic and Cardiovascular Surgery, Vol 99, 1003-1010, Copyright © 1990 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

The value of Doppler echocardiography in the treatment of tricuspid regurgitation in patients with mitral valve replacement. Perioperative and two-year postoperative findings

M Wong, M Matsumura, S Kutsuzawa and R Omoto
Medical Service, West Los Angeles Veterans Administration Medical Center, CA 90073.

The treatment for tricuspid regurgitation in patients who have mitral valve replacement remains controversial partly because of the lack of a convenient method for measuring reflux. The purpose of this study was to assess Doppler measurement of tricuspid regurgitation in selecting patients for surgical or nonsurgical management and in evaluating the results. Thirty-three patients who had mitral valve surgery had three ultrasound examinations: before operation, before discharge from hospital, and 2 years after operation. Seventeen patients were assigned to tricuspid annuloplasty and 16 to no procedure. Assignment was based on visual grading of regurgitant velocity maps and intraoperative grading by direct palpation. Before operation patients in the annuloplasty group had larger mean jet velocity areas, right atrial size, and diastolic transvalvular velocities than had the nonsurgical group. However, the overlap of data precluded the definition of thresholds for separating the patients into either of two regimens. Early after operation the patients with annuloplasties showed decreased regurgitant indexes similar to the preoperative levels of patients who had no procedure; the latter preoperative levels had not changed. Late after operation both groups showed stabilization or trends toward less regurgitation, and continued decreases in tricuspid diastolic flow velocities. Thus Doppler ultrasonography played a complementary role in selecting patients for annuloplasty or nonsurgical management and a major role in the longitudinal evaluation of treatment.


This article has been cited by other articles:


Home page
 Card Surg AdultHome page
R. J. Shemin
Tricuspid Valve Disease
Card. Surg. Adult, January 1, 2008; 3(2008): 1111 - 1128.
[Full Text]

Home page
 HeartHome page
M. J Antunes and J. B Barlow
Management of tricuspid valve regurgitation
Heart, February 1, 2007; 93(2): 271 - 276.
[Full Text] [PDF]

Home page
 Card Surg AdultHome page
R. J. Shemin
Tricuspid Valve Disease
Card. Surg. Adult, January 1, 2003; 2(2003): 1001 - 1015.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1990 by The American Association for Thoracic Surgery.