{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T01:34:53Z","timestamp":1769564093738,"version":"3.49.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T00:00:00Z","timestamp":1768608000000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Tricuspid regurgitation (TR) is commonly encountered in patients with left-sided valve disease and often progresses postoperatively if left unaddressed. While mitral valve replacement (MVR) alone may improve left heart parameters, concomitant tricuspid ring annuloplasty (TRA) might prevent right-sided deterioration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study analysed 129 patients undergoing MVR between 2016 and 2019. Patients were divided into 2 groups: isolated MVR (n\u2009=\u200971) and MVR\u2009+\u2009TRA (n\u2009=\u200958). Long-term echocardiographic outcomes were compared, including LVDD, LVSD, LVEF, LA diameter, IVS thickness, pulmonary flow rate, PAP, and TI degree.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both the groups showed regression in left heart dimensions postoperatively; however, left ventricular ejection fraction (LVEF) significantly decreased in the MVR-only group (P\u202f&amp;lt;\u202f.001) while it remained stable in the MVR\u202f+\u202fTRA group (P\u202f=0.598). Severe tricuspid insufficiency occurred in 12% (95% CI 5%-21%) of patients undergoing isolated MVR and 0% (95% CI 0%-6\u202f) of those undergoing MVR\u202f+\u202fTRA (P\u202f&amp;lt;\u202f.001). The mean difference in the change of pulmonary artery pressure (\u0394PAP) between the groups was 12.0\u202fmmHg (95% CI 6.5-17.3, P\u202f=\u202f.002), and both pulmonary artery pressure and left atrial diameter significantly decreased postoperatively in the MVR\u202f+\u202fTRA group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Performing TRA during MVR surgery offers significant protective effects against TI progression and right heart overload. Even in cases with mild TI but annular dilation, simultaneous TRA may be a rational and beneficial strategy to ensure long-term cardiac stability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/icvts\/ivag011","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T12:28:55Z","timestamp":1768307335000},"source":"Crossref","is-referenced-by-count":0,"title":["Tricuspid Annuloplasty: Is It a Step That Should Not Be Ignored in Mitral Valve Surgery?"],"prefix":"10.1093","volume":"41","author":[{"given":"Mustafa Sabri","family":"Bayram","sequence":"first","affiliation":[{"name":"Necmettin Erbakan University School of Medicine, Department of Cardiovascular Surgery, Necmettin Erbakan University , Meram 42100,","place":["Konya"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1424-8608","authenticated-orcid":false,"given":"Serkan","family":"Yildirim","sequence":"additional","affiliation":[{"name":"Necmettin Erbakan University School of Medicine, Department of Cardiovascular Surgery, Necmettin Erbakan University , Meram 42100,","place":["Konya"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"I\u015fik","sequence":"additional","affiliation":[{"name":"Necmettin Erbakan University School of Medicine, Department of Cardiovascular Surgery, Necmettin Erbakan University , Meram 42100,","place":["Konya"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6mer","family":"Tanyeli","sequence":"additional","affiliation":[{"name":"Necmettin Erbakan University School of Medicine, Department of Cardiovascular Surgery, Necmettin Erbakan University , Meram 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