Postoperative Tricuspid Regurgitation Following Aortic Root Surgery
Conditions
Interventions
Observational group (Part II):None
Sponsors
Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College/ Fuwai Yunnan Hospital, Chinese Academy of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Retrospective cohort 1. Patients aged 18–80 years. 2. Had undergone Bentall, David, or Wheat aortic-root surgery at our centre for aortic-root pathology (aortic-valve disease, aortic-root aneurysm, aortic dissection involving the root) without concomitant tricuspid-valve repair or replacement. 3. Intra-operative trans-oesophageal echocardiography performed before cardiopulmonary bypass and after weaning. Prospective cohort 1. Age 18–80 years. 2. Scheduled for Bentall, David, or Wheat aortic-root surgery at our centre for the above-listed aortic-root diseases, with no planned concomitant tricuspid-valve repair. 3. Trans-oesophageal echocardiography planned before bypass and after weaning. 4. Signed informed consent.
Exclusion criteria
Exclusion criteria: Retrospective cohort 1. Missing, unreadable, or uninterpretable intra-operative trans-oesophageal echocardiography images that preclude assessment of tricuspid regurgitation. 2. Loss of key peri-operative data (e.g., length of hospital stay, ICU duration). Prospective cohort 1. Concomitant congenital heart disease or pre-operative moderate-to-severe tricuspid regurgitation. 2. Contra-indications to trans-oesophageal echocardiography: severe oesophageal/gastric ulcer, active upper-GI bleeding, previous oesophageal surgery, oesophageal stricture/obstruction, or congenital oesophageal anomaly. 3. Refusal to provide informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postoperative increase in tricuspid regurgitation; | — |
Secondary
| Measure | Time frame |
|---|---|
| Rate of reoperation on the tricuspid valve after surgery;Postoperative heart-failure incidence;Heart-failure-related readmission rate after surgery;Postoperative survival time;Postoperative stroke incidence; | — |
Countries
China
Contacts
Public ContactLiu Guangyu
Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College/ Fuwai Yunnan Hospital, Chinese Academy of Medical Sciences
Outcome results
None listed