Unmasking pulmonary hypertension following tricuspid valve replacement.
Mustafa AjamRabih ToumaOmar ChehabMohamed ShokrAiden AbidovPublished in: Echocardiography (Mount Kisco, N.Y.) (2020)
In this Viewpoint, we highlight a possible hemodynamic problem arising following tricuspid valve replacement (TVR) in patients with severe chronic tricuspid regurgitation, represented by "unmasking" of pulmonary hypertension (PH) following the surgery. We share an observation that should alert cardiologists to the fact that this increasingly utilized surgery is not risk free, and careful assessment of the right ventricular function and pulmonary circulation preoperatively is extremely important, especially in patients with preexisting risk factors for PH, since TVR may lead to a sudden increase in right ventricular afterload.
Keyphrases
- aortic valve
- pulmonary hypertension
- aortic stenosis
- mitral valve
- transcatheter aortic valve replacement
- minimally invasive
- coronary artery bypass
- pulmonary artery
- ejection fraction
- pulmonary arterial hypertension
- left ventricular
- surgical site infection
- coronary artery disease
- early onset
- drug induced
- heart failure
- coronary artery