BACKGROUND: The objective of this study was to assess the fate at long term of mild-to-moderate functional tricuspid regurgitation (TR) left untreated at the time of  mitral valve repair in @entity1 with @entity384 . METHODS: We selected from our prospective hospital database 84 @entity1 (age, 64    9.6 years; ejection fraction, 0.31    0.064) who underwent mitral repair for secondary @entity339 in whom concomitant mild-to-moderate TR (nonlinear scale 1 to 4+) was left untreated. @entity997 was classified as mild in 61 @entity1 (72.6%) and moderate in 23 @entity1 (27.3%). Annular dilatation itself was not systematically measured and was not used as a trigger for tricuspid annuloplasty. Most of the @entity1 were in New York Heart Association functional class III or IV (56 of 84; 66.7%). RESULTS: At a median follow-up of 7.3 years (interquartile range, 4.5 to 9.3), 17 @entity1 (20.2%) had moderate-to-severe TR and 21 @entity1 (25%) showed a progression of at least two grades of their untreated preoperative TR. Freedom from moderate-to-severe TR or from progression of at least two grades of the baseline TR  was 77%    5% at 5 years and 56.7%    8.4% at 10 years. Multivariate analysis identified preoperative @entity67 (hazard ratio, 7.2; 95% confidence interval, 2.8 to 23; p  = 0.001) and age (hazard ratio, 1; 95% confidence interval, 1.0 1.1; p  = 0.03) as independent predictors of TR worsening. CONCLUSIONS: A significant number of @entity384 @entity1 with mild-to-moderate TR left untreated at the time of mitral repair show important TR at  follow-up. In this setting, a more aggressive policy should be used taking into consideration the degree of @entity384 and the function of the right ventricle and not simply the grade of TR.

Mitral Valve Repair Without Repair of Moderate XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity339 :: ('MESH:D008944', 'Disease') :: ['mitral regurgitation'] @entity384 :: ('MESH:D002311', 'Disease') :: ['dilated cardiomyopathy', 'annular dilatation'] @entity997 :: ('MESH:D014262', 'Disease') :: ['Tricuspid regurgitation'] @entity67 :: ('MESH:D018754', 'Disease') :: ['right ventricular dysfunction']
@entity997 :: (MESH:D014262,Disease) :: ['Tricuspid Regurgitation']
