Evaluation of results of repair of patients undergoing tricuspid surgery in Shahid Rajaei Heart Hospital

Behnam Gholizadeh; Seyed Salaheddin Nabavi; Amir Jamshid Khamooshi; Alireza Alizadeh Ghavidel; Niloufar Samiei; Saeid Hoseini

doi:10.53730/ijhs.v6nS3.7108

Authors

Behnam Gholizadeh Assistant Professor of Cardiovascular Surgery, Department of General Surgery, School of Medicine, Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran
Seyed Salaheddin Nabavi Assistant Professor of Cardiovascular Surgery, Department of General Surgery, School of Medi-cine, Imam Khomeini Hospital, Ahvaz Anesthesiology, Ahvaz Jun-dishapur University of Medical Sciences, Ahvaz, Iran
Amir Jamshid Khamooshi Associate Professor of Cardiovascular Surgery, Cardiac Valves Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
Alireza Alizadeh Ghavidel Professor of Cardiovascular Surgery, Cardiac Valves Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
Niloufar Samiei Professor of Echocardiography, Cardiac Valves Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
Saeid Hoseini
saeidrezad@gmail.com
Professor of Cardiovascular Surgery, Cardiac Valves Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran

Keywords:

RV dysfunction, RV enlargement, TR repair, Rajaei Hospital

Abstract

If tricuspid regurgitation (primary and secondary) is left untreated, it will be associated with significant complications and death, even if left ventricular dysfunctions are corrected, TR does not decrease in many cases. Since many studies have not been conducted in this area, we decided to evaluate the results of tricuspid repair. In this retrospective study conducted since 2006 to 2011, 448 patients undergoing tricuspid surgery with different methods with or without surgery were studied. Statistical analysis was performed by Friedman, Fisher exact and Pearson chi-square methods. In the Mod and Severe RV dysfunction section, the mean age of the patients was 52 years, 289 were female (64%), 343 (76%) had rheumatic pathology, 79 (17%) had myxomatous pathology, 12 (2%) had endocarditis pathology, and 14 had an unknown pathology. Before surgery, Mod and Severe dysfunction was seen in 226 patients (40%) and after surgery (follow up), it was seen in 85 patients (19%). Before surgery, Mod and Severe TR was seen in 356 patients (79%) and after surgery, it was seen in 91 patients (20%). The mean of PAP before surgery was 54 mmHg and after surgery, it was 37 mmHg, which was significant in all cases (P <0.05).

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