Tricuspid Valve Insufficiency Clinical Trial
Official title:
Prophylactic Tricuspid Annuloplasty During Mitral Valve Surgery
Single center randomized study to test whether a prophylactic tricuspid annuloplasty at the time of mitral valve procedure can improve clinical and echocardiographical outcomes.
The optimal management of functional tricuspid regurgitation (FTR) in the setting of mitral
valve operations remains controversial. The current practice is both center- and
surgeon-specific with guidelines based on non-randomized data. A prospective randomized trial
was performed to evaluate the worth of less-than-severe FTR repair during mitral valve
procedures.
A single center randomized study was designed to allocate patients with less-than-severe FTR
undergoing mitral valve surgery to be prophylactically treated + tricuspid valve annuloplasty
(TVP- or TVP+). These patients were analysed using longitudinal cardiopulmonary exercise
capacity, echocardiographic follow-up, and cardiac magnetic resonance (CMR). The primary
outcome was more than mild tricuspid regurgitation (TR) recurrence with vena contracta >3mm.
Secondary outcomes were maximal oxygen uptake (VO2 max) and right ventricular (RV) dimension
and function.
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