Limited Utility of Tricuspid Valve Repair at the Time of Left Ventricular Assist Device Implantation.

ABSTRACT:

Background

The optimal management of tricuspid regurgitation (TR) in patients undergoing left ventricular assist device (LVAD) implantation is controversial. This study was undertaken to determine the impact of tricuspid valve repair (TVR) at the time of LVAD implantation on survival.

Methods

The Interagency Registry for Mechanically Assisted Circulatory Support was used to analyze the outcomes of patients undergoing LVAD implantation as destination therapy with or without concomitant TVR.

Results

Among 2,527 patients undergoing implant of a continuous flow LVAD as destination therapy during the study period, 989 (39%) had moderate or severe TR. The management of TR was not uniform among these patients. Patients with moderate and severe TR underwent TVR in 16.7% and 3

SUBMITTER: Song HK 

PROVIDER: S-EPMC4877201 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature