Mild-to-moderate functional tricuspid regurgitation in patients undergoing mitral valve surgery

摘要: Objective The decision to repair mild-to-moderate functional tricuspid regurgitation (TR) during mitral valve surgery remains controversial. We evaluated the effects of (TV) for TR surgery. Methods enrolled 959 patients with who underwent (repair group n = 431) or without (control n = 528) concomitant TV from January 1994 September 2010. Results There were no significant differences in early mortality major morbidity rates. Median follow-up was 64.8 months (range, 0.03-203.6 months). After adjustment baseline characteristics using a propensity score model, had similar risks reoperation (hazard ratio [HR], 0.46; 95% confidence interval [CI], 0.10-2.07; P  = .31); congestive heart failure (HR, 1.12; CI, 0.37-3.36;  = .84); death 1.41; 0.82-2.42;  = .22); and composite death, reoperation, 1.24; 0.76-2.03;  = .39) compared control group. On multivariate Cox-regression analysis, old age, atrial fibrillation Maze procedure, diabetes mellitus, chronic renal failure, poor left ventricular ejection fraction, redo emerged as independent risk factors outcome failure. Conclusions Early late clinical benefits uncertain through long-term patients. Several preoperative performance procedure AF seem be more important than overall outcomes.