Matches in SemOpenAlex for { <https://semopenalex.org/work/W2775698983> ?p ?o ?g. }
- W2775698983 endingPage "486" @default.
- W2775698983 startingPage "480" @default.
- W2775698983 abstract "Performance of tricuspid annuloplasty (TA) in patients undergoing mitral valve surgery is recommended based on the degree of tricuspid regurgitation and tricuspid annulus size, but is often underused. To evaluate the impact of combined TA on in-hospital outcome in patients undergoing mitral valve replacement (MVR). We selected all consecutive patients who underwent MVR for native valve disease. Clinical, echocardiographic and in-hospital complications were obtained from chart review. We identified 287 patients (mean age 62 ± 17 years; 44% men). Combined TA was performed in 165 patients (57%), who had more rheumatic disease (71% vs. 24%; P < 0.0001) and mitral stenosis (55% vs. 22%; P < 0.0001), but less endocarditis (4% vs. 31%; P < 0.0001), were more often in atrial fibrillation (54% vs. 22%; P < 0.0001), were more severely symptomatic (80% vs. 57%; P < 0.0001), presented with a higher systolic pulmonary artery pressure (SPAP) (53 ± 16 vs. 45 ± 15 mmHg; P = 0.0002) and were less likely to have required emergency surgery (17% vs. 38%; P < 0.0001). Despite this higher risk profile, in-hospital mortality was slightly lower (5% vs. 13%; P = 0.02) and complication rates were similar (redo surgery 22% vs. 16% [P = 0.18] and tamponade 20% vs. 15% [P = 0.15]). After adjustment for age, sex, functional class, SPAP, emergency surgery and concomitant coronary artery bypass graft or aortic valve replacement surgery, combined TA was not associated with an increased rate of in-hospital death (P = 0.08) or major complications (P = 0.89). In a consecutive series of patients who underwent MVR, TA did not seem to have a negative impact on immediate outcome. Hence, additional performance of TA at the time of MVR should not be declined on the basis of an increased surgical risk. Si une annuloplastie tricuspide (AT) est indiquée chez les patients devant bénéficier d’une chirurgie mitrale en cas de fuite tricuspide significative ou de dilatation de l’anneau tricuspide, elle reste sous-utilisée. Le but de la présente étude est d’évaluer l’impact d’une AT réalisée lors d’un remplacement valvulaire mitral (RVM) sur la morbi-mortalité hospitalière. Nous avons recensé tous les patients consécutifs ayant bénéficiés d’un RVM sur une période de 2 ans dans notre institution et colligés les données cliniques, échographiques et les complications postopératoires. Nous avons identifié 287 patients (62 ± 17 ans ; 44 % homme). Les patients chez qui une AT a été réalisée (n = 165, 57 %) présentaient plus souvent une étiologie rhumatismale (71 % vs 24 % ; p < 0,0001), une sténose mitrale (55 % vs 22 % ; p < 0,0001) mais moins fréquemment une endocardite (4 % vs 31 % ; p < 0,0001) était plus souvent en fibrillation auriculaire (54 % vs 22 % ; p < 0,0001), plus sévèrement symptomatiques (80 % vs 57 % ; p < 0,0001) et présentaient une pression artérielle pulmonaire (PAPS) plus élevée (53 ± 16 mmHg vs 45 ± 15 mmHg ; p = 0,0002). Malgré une présentation plus sévère, la mortalité hospitalière était discrètement inférieure (5 % vs 13 % ; p = 0,02) et le taux de complication non significativement diffèrent (ré-intervention 22 % vs 16 % [p = 0,18] ou tamponade 20 % vs 15 % [p = 0,15]). Après ajustement pour l’âge, le sexe, la classe fonctionnelle, la PAPS, le degré d’urgence de la chirurgie et la réalisation d’un pontage ou d’un remplacement valvulaire aortique associé, la réalisation d’un AT n’était ni associée à une augmentation de la mortalité (p = 0,08) ni à un taux plus élevé de complications sévères (p = 0,89). Dans cette série consécutive de patients opérés pour RVM, la réalisation d’un AT n’était pas associée à une augmentation du risque de complications post-opératoires. Ces résultats montrent que la crainte d’une augmentation du risque opératoire ne doit pas conduire a récuser la réalisation d’une AT si celle-ci est indiquée." @default.
- W2775698983 created "2017-12-22" @default.
- W2775698983 creator A5002999991 @default.
- W2775698983 creator A5004825127 @default.
- W2775698983 creator A5020227100 @default.
- W2775698983 creator A5021798076 @default.
- W2775698983 creator A5023171683 @default.
- W2775698983 creator A5050559659 @default.
- W2775698983 creator A5051461459 @default.
- W2775698983 creator A5058058382 @default.
- W2775698983 date "2018-08-01" @default.
- W2775698983 modified "2023-10-18" @default.
- W2775698983 title "Is tricuspid annuloplasty increasing surgical mortality and morbidity during mitral valve replacement? A single-centre experience" @default.
- W2775698983 cites W1134504971 @default.
- W2775698983 cites W168797801 @default.
- W2775698983 cites W1808783146 @default.
- W2775698983 cites W1868296812 @default.
- W2775698983 cites W1948348644 @default.
- W2775698983 cites W1970855679 @default.
- W2775698983 cites W1974432041 @default.
- W2775698983 cites W1974987201 @default.
- W2775698983 cites W1977886986 @default.
- W2775698983 cites W1979037485 @default.
- W2775698983 cites W1984820258 @default.
- W2775698983 cites W1989602072 @default.
- W2775698983 cites W2005021138 @default.
- W2775698983 cites W2014277497 @default.
- W2775698983 cites W2015929589 @default.
- W2775698983 cites W2030151888 @default.
- W2775698983 cites W2040507022 @default.
- W2775698983 cites W2042223707 @default.
- W2775698983 cites W2052630764 @default.
- W2775698983 cites W2054208421 @default.
- W2775698983 cites W2065359564 @default.
- W2775698983 cites W2073555268 @default.
- W2775698983 cites W2082967494 @default.
- W2775698983 cites W2100382768 @default.
- W2775698983 cites W2101825249 @default.
- W2775698983 cites W2106908483 @default.
- W2775698983 cites W2129428264 @default.
- W2775698983 cites W2140022452 @default.
- W2775698983 doi "https://doi.org/10.1016/j.acvd.2017.08.006" @default.
- W2775698983 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/29223748" @default.
- W2775698983 hasPublicationYear "2018" @default.
- W2775698983 type Work @default.
- W2775698983 sameAs 2775698983 @default.
- W2775698983 citedByCount "7" @default.
- W2775698983 countsByYear W27756989832020 @default.
- W2775698983 countsByYear W27756989832021 @default.
- W2775698983 countsByYear W27756989832023 @default.
- W2775698983 crossrefType "journal-article" @default.
- W2775698983 hasAuthorship W2775698983A5002999991 @default.
- W2775698983 hasAuthorship W2775698983A5004825127 @default.
- W2775698983 hasAuthorship W2775698983A5020227100 @default.
- W2775698983 hasAuthorship W2775698983A5021798076 @default.
- W2775698983 hasAuthorship W2775698983A5023171683 @default.
- W2775698983 hasAuthorship W2775698983A5050559659 @default.
- W2775698983 hasAuthorship W2775698983A5051461459 @default.
- W2775698983 hasAuthorship W2775698983A5058058382 @default.
- W2775698983 hasBestOaLocation W27756989831 @default.
- W2775698983 hasConcept C126322002 @default.
- W2775698983 hasConcept C141071460 @default.
- W2775698983 hasConcept C164705383 @default.
- W2775698983 hasConcept C2775854548 @default.
- W2775698983 hasConcept C2775872228 @default.
- W2775698983 hasConcept C2776570981 @default.
- W2775698983 hasConcept C2777543888 @default.
- W2775698983 hasConcept C2777573719 @default.
- W2775698983 hasConcept C2779161974 @default.
- W2775698983 hasConcept C2779384505 @default.
- W2775698983 hasConcept C2779946567 @default.
- W2775698983 hasConcept C2780007028 @default.
- W2775698983 hasConcept C2780930700 @default.
- W2775698983 hasConcept C2780940725 @default.
- W2775698983 hasConcept C71924100 @default.
- W2775698983 hasConceptScore W2775698983C126322002 @default.
- W2775698983 hasConceptScore W2775698983C141071460 @default.
- W2775698983 hasConceptScore W2775698983C164705383 @default.
- W2775698983 hasConceptScore W2775698983C2775854548 @default.
- W2775698983 hasConceptScore W2775698983C2775872228 @default.
- W2775698983 hasConceptScore W2775698983C2776570981 @default.
- W2775698983 hasConceptScore W2775698983C2777543888 @default.
- W2775698983 hasConceptScore W2775698983C2777573719 @default.
- W2775698983 hasConceptScore W2775698983C2779161974 @default.
- W2775698983 hasConceptScore W2775698983C2779384505 @default.
- W2775698983 hasConceptScore W2775698983C2779946567 @default.
- W2775698983 hasConceptScore W2775698983C2780007028 @default.
- W2775698983 hasConceptScore W2775698983C2780930700 @default.
- W2775698983 hasConceptScore W2775698983C2780940725 @default.
- W2775698983 hasConceptScore W2775698983C71924100 @default.
- W2775698983 hasIssue "8-9" @default.
- W2775698983 hasLocation W27756989831 @default.
- W2775698983 hasLocation W27756989832 @default.
- W2775698983 hasOpenAccess W2775698983 @default.
- W2775698983 hasPrimaryLocation W27756989831 @default.
- W2775698983 hasRelatedWork W161965515 @default.
- W2775698983 hasRelatedWork W1999437222 @default.
- W2775698983 hasRelatedWork W2052901204 @default.