{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T15:18:15Z","timestamp":1777475895377,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2004,9,1]],"date-time":"2004-09-01T00:00:00Z","timestamp":1093996800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2004,9]]},"abstract":"<jats:p>The aim of this study was to evaluate the usefulness of repairing significant tricuspid regurgitation (\u2265 grade 2) without severe pulmonary hypertension (\u2264 50 mm Hg). Between 1993 and June 2001, 88 consecutive patients were operated on for rheumatic mitral valve disease associated with significant tricuspid regurgitation and without severe pulmonary hypertension. The severity of the tricuspid valve disease was assessed by echocardiography. Sixty-three patients had severe (\u2265 grade 3) tricuspid regurgitation (Group I), and 25 patients had moderate (grade 2) tricuspid regurgitation (Group II). There was no hospital mortality. six patients died during follow-up. The overall actuarial survival rate for 8 years was 92.1% \u00b1 3.1%. Cox proportional hazard regression analysis showed that age ( p = 0.006) and pulmonary complication ( p = 0.01) were associated with increased late mortality. Freedom from death was similar in both groups at 8 years (93.1% \u00b1 3.3% versus 88% \u00b1 8%, p = 0.7). Severe postoperative tricuspid regurgitation (\u2265 grade 3), caused by the failure of tricuspid repair or leaving the valve untouched, impaired long-term survival after surgery, and actuarial survival was 96.1% \u00b1 2.7% and 83% \u00b1 7.8% at 7 years ( p = 0.048), respectively. Severe tricuspid regurgitation, functional or organic, should be corrected at the time of mitral valve surgery, whereas untouched functional moderate tricuspid regurgitation improves after mitral valve surgery.<\/jats:p>","DOI":"10.1177\/021849230401200313","type":"journal-article","created":{"date-parts":[[2013,5,6]],"date-time":"2013-05-06T09:37:22Z","timestamp":1367833042000},"page":"239-245","source":"Crossref","is-referenced-by-count":6,"title":["Evolution of Repaired and Non-Repaired Tricuspid Regurgitation in Rheumatic Mitral Valve Surgery without Severe Pulmonary Hypertension"],"prefix":"10.1177","volume":"12","author":[{"given":"Kaan","family":"Kirali","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Ko!uyolu Heart and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suat Nail","family":"\u00d6mero\u011flu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ko!uyolu Heart and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kemal","family":"Uzun","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ko!uyolu Heart and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vedat","family":"Erentu\u011f","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ko!uyolu Heart and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilg\u00fcn","family":"Bozbu\u011fa","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ko!uyolu Heart and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ercan","family":"Eren","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ko!uyolu Heart and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Balkanay","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ko!uyolu Heart and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mete","family":"Alp","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ko!uyolu Heart and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cevat","family":"Yakut","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ko!uyolu Heart and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2004,9,1]]},"reference":[{"key":"bibr1-021849230401200313","first-page":"631","volume":"6","author":"Katircio\u011flu SF","year":"1997","journal-title":"J Heart Valve 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