Key result
Tricuspid valve detachment during surgical closure of perimembranous VSDs showed no significant difference in the degree of tricuspid regurgitation compared to closure without detachment (p=0.271).
Why the study?
The study aimed to evaluate the efficiency of tricuspid valve detachment during surgical perimembranous ventricular septal defect closure and compare early and mid-term tricuspid insufficiency against closure without detachment.
Does tricuspid valve detachment during surgical closure of perimembranous VSDs affect tricuspid insufficiency compared to closure without detachment?
Cohort (n=170)
Does tricuspid valve detachment during surgical closure of perimembranous VSDs affect tricuspid insufficiency compared to closure without detachment?
Tricuspid valve detachment during perimembranous VSD closure can be safely performed without impairing valve function at midterm follow-up.
Answers are grounded in this paper and cite their sources.
TVD appears safe without increasing tricuspid regurgitation in this cohort; leaves open need for prospective trials before wider adoption.
BACKGROUND: The aim of this study was to investigate the efficiency of tricuspid valve detachment (TVD) during the surgical treatment of perimembranous ventricular septal defects (VSDs) and to compare the early and mid-term results to patients without TVD in terms of tricuspid insufficiency. METHODS: A total of 170 patients who had undergone surgical closure of perimembranous VSDs between November 2012 and January 2019 were included in this study, of whom 50 had an additional TVD procedure during the surgery. All patients were examined by transthoracic echocardiography before and after the operation with regular intervals, and the tricuspid valve function was then evaluated. RESULTS: There was no significant difference between subgroups with an unchanging degree of TVR, however, the result was also similar among those who had a decreased degree of TVR at any level (p = 0.271, p = 0.451). At the end of the study, all patients were in New York Heart Association class I. CONCLUSIONS: We suggest that, in appropriate patients, VSD closure can be safely performed with an additional TVD application through an incision of the septal leaflet of the tricuspid valve without impairing the valve function or reducing the growth potential of the valve at midterm follow-up.
No takes yet. Share an insight, caveat, or question.
Bilen et al. (2020) conducted a cohort in Perimembranous ventricular septal defects (VSDs) (n=170). Tricuspid valve detachment (TVD) vs. Surgical closure without TVD was evaluated on Unchanging or decreased degree of tricuspid regurgitation (TVR) (p=0.271, 0.451). Tricuspid valve detachment during surgical closure of perimembranous VSDs showed no significant difference in the degree of tricuspid regurgitation compared to closure without detachment (p=0.271).
Synapse has enriched 8 closely related papers on similar clinical questions. Consider them for comparative context: