The relation of right ventricular outflow tract measurements with in-hospital clinical outcomes after tricuspid valve surgery

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dc.authoridgüler, arda/0000-0002-5763-6785
dc.authoridkalkan, ali kemal/0000-0003-3553-7468;
dc.authorwosidgüler, arda/HJY-2884-2023
dc.authorwosidArslan, Enes/KFE-0586-2024
dc.authorwosidkalkan, ali kemal/HJB-3230-2022
dc.authorwosidbabur guler, gamze/HKN-4198-2023
dc.contributor.authorGuler, Arda
dc.contributor.authorKahveci, Gokhan
dc.contributor.authorTanboga, Ibrahim Halil
dc.contributor.authorErata, Yunus Emre
dc.contributor.authorArslan, Enes
dc.contributor.authorKarakurt, Seda Tukenmez
dc.contributor.authorIyigun, Taner
dc.date.accessioned2024-05-19T14:41:06Z
dc.date.available2024-05-19T14:41:06Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractRight ventricular (RV) function is a determining factor for clinical outcomes in patients undergoing tricuspid valve surgery (TVS). Our aim was to investigate the importance of the function of the right ventricular outflow tract (RVOT), which is an important anatomical region of the RV, in patients underwent TVS. 104 patients who underwent TVS were analyzed retrospectively. Patients with previous cardiac surgery, congenital heart disease, or heart failure were excluded. The parasternal short-axis view at the level of the aortic root was used to measure RVOT dimensions and RVOT fractional shortening (RVOT-FS). The effect of RVOT diameter and function on major adverse cardiac events (MACE) after TVS was investigated. In our study, MACE, consisting of pacemaker implantation, acute kidney injury, postoperative atrial fibrillation and mortality, was developed at 44 (42.3%) patients.We compared the predictive performances of RVOT end-systolic (RVOTs) diameter, RVOT end-diastolic (RVOTd) diameter, RVOT-FS and RV diameters in prediction of MACE. The model including the RVOTs had higher AUC, R2 and likelihood ratio X2 values (0.775, 0.287 and 25.0, respectively) than RVOTd (0.770, 0.279 and 24.2, respectively) and RVOT-FS (0.750, 0.215 and 18.1, respectively). RVOT diameters showed better performance in predicting MACE than RV diameters. Moreover, there was statistically significant association between RVOTs, RVOTd and MACE (p value were 0.014 and 0.027, respectively), while no association between RVOT-FS and MACE (p value was 0.177). In summary, we determined that the RVOT diameters are important predictors for the in-hospital clinical outcomes of patients who underwent TVS.en_US
dc.identifier.doi10.1007/s10554-023-02923-w
dc.identifier.endpage1908en_US
dc.identifier.issn1569-5794
dc.identifier.issn1875-8312
dc.identifier.issue10en_US
dc.identifier.pmid37530971en_US
dc.identifier.scopus2-s2.0-85166537786en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1897en_US
dc.identifier.urihttps://doi.org10.1007/s10554-023-02923-w
dc.identifier.urihttps://hdl.handle.net/20.500.12713/5062
dc.identifier.volume39en_US
dc.identifier.wosWOS:001041801600002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofInternational Journal of Cardiovascular Imagingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectEchocardiographyen_US
dc.subjectRight Ventricular Outflow Tracten_US
dc.subjectTricuspid Valve Surgeryen_US
dc.subjectRight Ventricle Dysfunctionen_US
dc.titleThe relation of right ventricular outflow tract measurements with in-hospital clinical outcomes after tricuspid valve surgeryen_US
dc.typeArticleen_US

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