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Medical and surgical outcome of tricuspid regurgitation caused by flail leaflets  David Messika-Zeitoun, MD, Helen Thomson, MD, Michael Bellamy, MD, Christopher.

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Presentation on theme: "Medical and surgical outcome of tricuspid regurgitation caused by flail leaflets  David Messika-Zeitoun, MD, Helen Thomson, MD, Michael Bellamy, MD, Christopher."— Presentation transcript:

1 Medical and surgical outcome of tricuspid regurgitation caused by flail leaflets 
David Messika-Zeitoun, MD, Helen Thomson, MD, Michael Bellamy, MD, Christopher Scott, MS, Christophe Tribouilloy, MD, Joseph Dearani, MD, A.Jamil Tajik, MD, Hartzell Schaff, MD, Maurice Enriquez-Sarano, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 128, Issue 2, Pages (August 2004) DOI: /j.jtcvs

2 Figure 1 Long-term survival after diagnosis of TR caused by flail leaflets compared with expected survival in the US matched population. Excess mortality (4.5% yearly, P < .01) was observed in the overall population (n = 60) with tricuspid flail leaflets (A) and after exclusion of patients with associated diseases contributing to symptoms (B; 3.8% yearly, P = .02). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )

3 Figure 2 Clinical outcome after diagnosis of TR caused by flail leaflets of asymptomatic patients. The Kaplan-Meier curve depicts the incidence of the combined end point of symptoms or heart failure, new AF, cardiac surgery, or death. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )

4 Figure 3 Clinical outcome after diagnosis of TR caused by flail leaflets according to the degree of right-sided chamber enlargement. The Kaplan-Meier curves depict the incidence of the combined end point of symptoms or heart failure, new AF, cardiac surgery, or death in patients initially conservatively managed. Note that patients with severe right-sided chamber enlargement had a higher incidence of events. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )

5 Figure 4 Natural history after occurrence of TR caused by flail leaflets in patients without associated diseases contributing to symptoms. The Kaplan-Meier curves depict the incidence of new AF (2.8% yearly), class III or IV symptoms or congestive heart failure (Sx or CHF, 4.4% yearly), and the composite end point of first occurrence of symptoms or heart failure, new AF, tricuspid surgery, or death (6.5% yearly). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )

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