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Tricuspid Regurgitation and Pulmonary Haemodynamics After Pulmonary Endarterectomy

Title: Tricuspid Regurgitation and Pulmonary Haemodynamics After Pulmonary Endarterectomy
Authors: Vanhoof,Bram; Staal, Diederik P; Quarck,Rozenn A; Van Langenhoven,Leen; Hofman,Frederik N; Meyns,Bart; Boerman, Sanne; Godinas,Laurent; Mager,Johannes J; Belge,Catharina; Post, Marco C; De Meester,Pieter; Delcroix,Marion; Verbelen,Tom; Team Onderzoek; Team Medisch; Circulatory Health
Publication Year: 2025
Subject Terms: Aged; Echocardiography; Endarterectomy/adverse effects; Female; Hemodynamics/physiology; Humans; Hypertension; Pulmonary/surgery; Male; Middle Aged; Postoperative Complications/epidemiology; Pulmonary Artery/surgery; Pulmonary Embolism/surgery; Retrospective Studies; Tricuspid Valve Insufficiency/physiopathology; Taverne; Journal Article
Description: Objectives: To assess tricuspid regurgitation evolution after pulmonary endarterectomy and to identify predictive factors for residual postoperative tricuspid regurgitation. Methods: Perioperative and 6-month follow-up echocardiography and right heart catheterization data were retrospectively retrieved from all chronic thromboembolic pulmonary hypertension patients who underwent pulmonary endarterectomy between January 2009 and December 2023 in University Hospitals Leuven, Leuven and St. Antonius Hospital, Nieuwegein. Patients with vs without decreased tricuspid regurgitation and with vs without moderate/severe residual postoperative tricuspid regurgitation were compared. Results: Moderate/severe preoperative tricuspid regurgitation was present in 150/162 (93%) patients. It decreased with at least 1 degree 6 months postoperatively in 70/150 (47%) patients. In these patients, reductions in mean pulmonary artery pressure (−23 [−26; −21] vs −13 [−16; −11] mm Hg, P
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
ISSN: 1010-7940
Relation: https://dspace.library.uu.nl/handle/1874/467809
Availability: https://dspace.library.uu.nl/handle/1874/467809
Rights: info:eu-repo/semantics/OpenAccess
Accession Number: edsbas.5C114867
Database: BASE