Publication: Prevalence of Significant Tricuspid Regurgitation in Patients Planned for Mitral Valve Surgery in a Tertiary Center of Nepal
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Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Tricuspid regurgitation is frequently present in patients with mitral valve disease and
most of this tricuspid regurgitation present are significant.
Objective
To find out the prevalence of tricuspid regurgitation in adult patients present in our
hospital who are planned for isolated mitral valve surgery for mitral stenosis, mitral
regurgitation or both. Patients with moderate and severe tricuspid regurgitation
were considered as significant.
Method
This was the retrospective cross-sectional study performed at Shahid Gangalal
National Heart Center of Nepal. All cardiac surgical patients scheduled for isolated
mitral valve surgery during the 3 years’ period from 2017 to 2020 were enrolled
in the study and presence or absence of significant tricuspid regurgitation were
recorded and analysed.
Result
Out of total patients 65% (663) of the cases with mitral valve pathology had significant
tricuspid regurgitation. Out of the total mitral stenosis cases 70% were associated
with significant tricuspid regurgitation, 62.6% of the cases of mitral regurgitation
had significant tricuspid regurgitation and 64.8% of patients with combined mitral
stenosis and regurgitation were associated with significant tricuspid regurgitation.
Conclusion
Significant tricuspid regurgitation is present in most of the cases with isolated mitral
valve pathology. So routine tricuspid valve evaluation and repair if needed during
mitral valve surgeries is recommended.
KEY WORDS
Mitral, Regurgitation, Stenosis, Tricuspid
Description
Sharma Parajuli S,1 Rajbhandari N,2 Panthee N,2 Timshina A1
1Department of Cardiac Anaesthesia
2Department of Cardiac Surgery
Shahid Gangalal National Heart Centre (SGNHC)
Bansbari, Kathmandu, Nepal
Keywords
Mitral, Regurgitation, Stenosis, Tricuspid