The Early Effects on Tricuspid Annulus and Right Chambers Dimensions in Successful Tricuspid Valve Bicuspidization
Background: It is unclear to what degree of tricuspid annulus (TA) reduction is necessary to achieve good postoperative results in surgical bicuspidization. The study aimed to evaluate TA and right heart chamber’s dimensions before and after heart surgery; and to compare TA parameters assessed by di...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-06-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/12/12/4093 |
| _version_ | 1797594066864570368 |
|---|---|
| author | Gintarė Bieliauskienė Ieva Kažukauskienė Vilius Janušauskas Aleksejus Zorinas Kęstutis Ručinskas Antanas Mainelis Diana Zakarkaitė |
| author_facet | Gintarė Bieliauskienė Ieva Kažukauskienė Vilius Janušauskas Aleksejus Zorinas Kęstutis Ručinskas Antanas Mainelis Diana Zakarkaitė |
| author_sort | Gintarė Bieliauskienė |
| collection | DOAJ |
| description | Background: It is unclear to what degree of tricuspid annulus (TA) reduction is necessary to achieve good postoperative results in surgical bicuspidization. The study aimed to evaluate TA and right heart chamber’s dimensions before and after heart surgery; and to compare TA parameters assessed by different modalities. Methods: Forty patients underwent mitral valve surgery with or without concomitant tricuspid valve (TV) bicuspidization. Preoperative and postoperative measurements of TA dimensions were performed prospectively using two-dimensional (2D) and three-dimensional (3D) transthoracic echocardiography (TTE). Additionally, preoperative transesophageal echocardiography (TOE) was performed in the operating room prior to surgery. Results: All patients had no or mild TR immediately after surgery. There was a significant reduction in 2D and 3D parameters of the TV and right chambers in the TV bicuspidization group. However, TV leaflets’ tethering parameters did not change significantly. Preoperative 3D TTE measurements were smaller than those obtained through 3D TOE in the operation room, before surgery under general anesthesia. The 2D systolic apical 4Ch diameter and the parasternal short axis diameter mainly represent the 3D minor axis of the TA and are smaller than its 3D major axis. Conclusions: Although bicuspidization results in a one-third reduction of the TV area, tethering of the TV leaflets remains unchanged. Moreover, 3D TOE parameters of the TV under general anesthesia are larger than preoperative 3D TTE measurements. Conventional 2D measurements are insufficient for evaluating the maximum diameter of the TA. |
| first_indexed | 2024-03-11T02:18:27Z |
| format | Article |
| id | doaj.art-769e35507aae49d287eb15c0f3a40bc0 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T02:18:27Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-769e35507aae49d287eb15c0f3a40bc02023-11-18T11:00:53ZengMDPI AGJournal of Clinical Medicine2077-03832023-06-011212409310.3390/jcm12124093The Early Effects on Tricuspid Annulus and Right Chambers Dimensions in Successful Tricuspid Valve BicuspidizationGintarė Bieliauskienė0Ieva Kažukauskienė1Vilius Janušauskas2Aleksejus Zorinas3Kęstutis Ručinskas4Antanas Mainelis5Diana Zakarkaitė6Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, M. K. Čiurlionio 21, 03101 Vilnius, LithuaniaClinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, M. K. Čiurlionio 21, 03101 Vilnius, LithuaniaClinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, M. K. Čiurlionio 21, 03101 Vilnius, LithuaniaClinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, M. K. Čiurlionio 21, 03101 Vilnius, LithuaniaClinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, M. K. Čiurlionio 21, 03101 Vilnius, LithuaniaFaculty of Mathematics and Informatics, Vilnius University, Naugarduko 24, 03225 Vilnius, LithuaniaClinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, M. K. Čiurlionio 21, 03101 Vilnius, LithuaniaBackground: It is unclear to what degree of tricuspid annulus (TA) reduction is necessary to achieve good postoperative results in surgical bicuspidization. The study aimed to evaluate TA and right heart chamber’s dimensions before and after heart surgery; and to compare TA parameters assessed by different modalities. Methods: Forty patients underwent mitral valve surgery with or without concomitant tricuspid valve (TV) bicuspidization. Preoperative and postoperative measurements of TA dimensions were performed prospectively using two-dimensional (2D) and three-dimensional (3D) transthoracic echocardiography (TTE). Additionally, preoperative transesophageal echocardiography (TOE) was performed in the operating room prior to surgery. Results: All patients had no or mild TR immediately after surgery. There was a significant reduction in 2D and 3D parameters of the TV and right chambers in the TV bicuspidization group. However, TV leaflets’ tethering parameters did not change significantly. Preoperative 3D TTE measurements were smaller than those obtained through 3D TOE in the operation room, before surgery under general anesthesia. The 2D systolic apical 4Ch diameter and the parasternal short axis diameter mainly represent the 3D minor axis of the TA and are smaller than its 3D major axis. Conclusions: Although bicuspidization results in a one-third reduction of the TV area, tethering of the TV leaflets remains unchanged. Moreover, 3D TOE parameters of the TV under general anesthesia are larger than preoperative 3D TTE measurements. Conventional 2D measurements are insufficient for evaluating the maximum diameter of the TA.https://www.mdpi.com/2077-0383/12/12/4093three-dimensional echocardiographytricuspid annulusbicuspidizationtricuspid valve quantification |
| spellingShingle | Gintarė Bieliauskienė Ieva Kažukauskienė Vilius Janušauskas Aleksejus Zorinas Kęstutis Ručinskas Antanas Mainelis Diana Zakarkaitė The Early Effects on Tricuspid Annulus and Right Chambers Dimensions in Successful Tricuspid Valve Bicuspidization Journal of Clinical Medicine three-dimensional echocardiography tricuspid annulus bicuspidization tricuspid valve quantification |
| title | The Early Effects on Tricuspid Annulus and Right Chambers Dimensions in Successful Tricuspid Valve Bicuspidization |
| title_full | The Early Effects on Tricuspid Annulus and Right Chambers Dimensions in Successful Tricuspid Valve Bicuspidization |
| title_fullStr | The Early Effects on Tricuspid Annulus and Right Chambers Dimensions in Successful Tricuspid Valve Bicuspidization |
| title_full_unstemmed | The Early Effects on Tricuspid Annulus and Right Chambers Dimensions in Successful Tricuspid Valve Bicuspidization |
| title_short | The Early Effects on Tricuspid Annulus and Right Chambers Dimensions in Successful Tricuspid Valve Bicuspidization |
| title_sort | early effects on tricuspid annulus and right chambers dimensions in successful tricuspid valve bicuspidization |
| topic | three-dimensional echocardiography tricuspid annulus bicuspidization tricuspid valve quantification |
| url | https://www.mdpi.com/2077-0383/12/12/4093 |
| work_keys_str_mv | AT gintarebieliauskiene theearlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization AT ievakazukauskiene theearlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization AT viliusjanusauskas theearlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization AT aleksejuszorinas theearlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization AT kestutisrucinskas theearlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization AT antanasmainelis theearlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization AT dianazakarkaite theearlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization AT gintarebieliauskiene earlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization AT ievakazukauskiene earlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization AT viliusjanusauskas earlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization AT aleksejuszorinas earlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization AT kestutisrucinskas earlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization AT antanasmainelis earlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization AT dianazakarkaite earlyeffectsontricuspidannulusandrightchambersdimensionsinsuccessfultricuspidvalvebicuspidization |