Additional tricuspid valve annuloplasty versus isolated closure for atrial septal defect with secondary moderate to severe tricuspid regurgitation: A propensity score matching study
- VernacularTitle:同期三尖瓣成形与单纯封堵治疗房间隔缺损合并继发性中重度三尖瓣关闭不全的倾向性评分匹配研究
- Author:
Tianyu CHEN
1
,
2
;
Xiaobing LIU
1
,
2
;
Juemin YU
1
,
2
;
Qiushi REN
1
,
2
;
Hailong QIU
1
,
2
;
Shusheng WEN
1
,
2
;
Jian ZHUANG
1
,
2
Author Information
1. Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People'
2. s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, P. R. China
- Publication Type:Journal Article
- Keywords:
Atrial septal defect;
tricuspid regurgitation;
tricuspid valve annuloplasty;
transcatheter closure;
propensity score matching
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2024;31(04):519-527
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of additional tricuspid valve annuloplasty (TVP) and isolated closure for atrial septal defect (ASD) with moderate to severe tricuspid regurgitation (TR). Methods Clinical data of the patients diagnosed with ASD combined with secondary moderate to severe TR and treated in our hospital from January 2009 to June 2020 were retrospectively analyzed. Patients were divided into a TVP group and a non-TVP group based on whether TVP was performed simultaneously. The baseline data of two groups were matched with a ratio of 1∶1 propensity score. Results A total of 32 pairs from 257 patients were successfully matched. In the TVP group, there were 24 females and 8 males with an average age of 44.0±13.1 years. In the non-TVP group, there were 28 females and 4 males with an average age of 44.5±11.6 years. The TR area and estimated pulmonary artery pressure in the two groups were significantly decreased compared with preoperation (all P<0.001). The TR area (P=0.001) and the estimated pulmonary artery pressure (P=0.002) were decreased more significantly in the TVP group than those in the non-TVP group. Linear regression analysis showed that age and preoperative TR area had a positive correlation with TR area at follow-up (β=0.045 and 0.259, respectively, both P<0.05), while additional TVP had a negative correlation (β=–1.542, P=0.001). Conclusion Additional TVP can significantly reduce the TR area and pulmonary artery pressure, and elderly patients with severe TR before surgery should actively receive TVP.
