Risk stratification for surgery in tricuspid regurgitation

被引:4
作者
Rotar, Evan [1 ]
Lim, D. Scott [2 ]
Ailawadi, Gorav [1 ]
机构
[1] Univ Virginia, Dept Surg, Div Cardiac Surg, Charlottesville, VA USA
[2] Univ Virginia, Dept Med, Div Cardiol, Charlottesville, VA USA
关键词
Tricuspid regurgitation; Surgical risk stratification; Clinical risk score; Tricuspid valve surgery; VALVE SURGERY; OUTCOMES; ANNULOPLASTY; TRENDS; NEED;
D O I
10.1016/j.pcad.2019.11.015
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Tricuspid valve (TV) surgery carries high mortality and morbidity, and risk-adjusted mortality has not changed. Patients who can withstand the perioperative period benefit from symptomatic improvement as the right ventricle remodels. Risk stratification for patients undergoing surgical intervention is critically important. The Model for End-Stage Liver Disease (MELD) score is a reliable and accurate mortality risk predictor given the liver and kidney dysfunction that accompany tricuspid regurgitation. Novel clinical risk calculators for isolated TV surgery have also been developed to further guide patients with projected surgical outcomes and reinforce timeliness to intervention. (C) 2019 Elsevier Inc. All rights reserved.
引用
收藏
页码:500 / 504
页数:5
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