Progression of isolated tricuspid regurgitation late after left-sided valve surgery
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- Izumi Chisato
- Department of Cardiology, Tenri Hospital
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- Miyake Makoto
- Department of Cardiology, Tenri Hospital
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- Takahashi Shuichi
- Department of Clinical Pathology, Tenri Hospital
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- Matsutani Hayato
- Department of Clinical Pathology, Tenri Hospital
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- Hashiwada Sumiyo
- Department of Clinical Pathology, Tenri Hospital
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- Kuwano Kazuyo
- Department of Clinical Pathology, Tenri Hospital
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- Hayashi Hidetaka
- Department of Clinical Pathology, Tenri Hospital
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- Nakajima Seiko
- Department of Cardiology, Tenri Hospital
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- Nishiga Masataka
- Department of Cardiology, Tenri Hospital
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- Hanazawa Koji
- Department of Cardiology, Tenri Hospital
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- Sakamoto Jiro
- Department of Cardiology, Tenri Hospital
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- Kondo Hirokazu
- Department of Cardiology, Tenri Hospital
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- Tamura Toshihiro
- Department of Cardiology, Tenri Hospital
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- Kaitani Kazuaki
- Department of Cardiology, Tenri Hospital
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- Yamanaka Kazuo
- Department of Cardiovascular Surgery, Tenri Hospital
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- Nakagawa Yoshihisa
- Department of Cardiology, Tenri Hospital
書誌事項
- タイトル別名
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- Progression of Isolated Tricuspid Regurgitation Late After Left-Sided Valve Surgery - Clinical Features and Mechanisms -
- – Clinical Features and Mechanisms –
この論文をさがす
抄録
Background: Severe tricuspid regurgitation (TR) sometimes develops late after left-sided valve surgery without left heart failure, pulmonary hypertension or rheumatic tricuspid valve. The purpose of the present study was to investigate clinical characteristics and mechanisms of severe isolated TR late after left-sided valve surgery. Methods and Results: A total of 372 consecutive patients who underwent left-sided valve surgery between 1990 and 2003 and who were followed up with echocardiography for at least 5 years, were retrospectively investigated. The mean follow-up period was 9.4 years. Clinical background, preoperative and postoperative echocardiographic parameters were evaluated. Among the 372 patients, severe isolated TR was detected in 23 patients, which developed at a mean of 8.6 years after surgery. Twenty-two of 23 patients had undergone mitral valve surgery. Multivariate logistic regression analysis identified the presence of preoperative atrial fibrillation and preoperative ejection fraction as independent determinants for the development of severe isolated TR. In patients with severe isolated TR, the tricuspid annular diameter and the right atrial area were already enlarged early after surgery and both of these increased prior to TR progression. Conclusions: Severe isolated TR developing late after mitral valve surgery is not uncommon, thus it is important to recognize this disease entity. Annular dilatation was the main cause of isolated TR and serial echocardiographic data are important to detect progression of isolated TR and to assess its mechanisms. (Circ J 2011; 75: 2902-2907)<br>
収録刊行物
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- Circulation Journal
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Circulation Journal 75 (12), 2902-2907, 2011
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390001205102365312
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- NII論文ID
- 10030033699
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- NII書誌ID
- AA11591968
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- COI
- 1:STN:280:DC%2BC38%2FjtVWktA%3D%3D
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- ISSN
- 13474820
- 13469843
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- PubMed
- 21946358
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可