Journal of Cardiovascular Echography

ORIGINAL ARTICLE
Year
: 2022  |  Volume : 32  |  Issue : 4  |  Page : 212--217

Association between right ventricle–Pulmonary artery coupling with in-hospital outcome after triple valve surgery in rheumatic heart disease


Amiliana Mardiani Soesanto1, Mochamad Rizky Hendiperdana1, Rita Zahara1, Amin Tjubandi2, Dafsah Juzar1, Nanda Iryuza1, Sisca Natalia Siagian1 
1 Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center Harapan Kita, West Jakarta, Indonesia
2 Department of Cardiovascular and Thoracic Surgery, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center Harapan Kita, West Jakarta, Indonesia

Correspondence Address:
Amiliana Mardiani Soesanto
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Centre, Harapan Kita, Jl. Let. Jend. S. Parman Kav. 87, Slipi, Jakarta 11420
Indonesia

Context: Triple valve surgery (TVS) is a relatively higher in-hospital mortality rate than any isolated valve surgery. In advanced-stage valvular heart disease, maladaptation may occur, creating RV-PA uncoupling. Aims To evaluate whether RV-PA coupling is associated with the in-hospital outcome of patients after TVS. Settings and Design: From the medical records, clinical and echocardiography data were collected and compared between the survived and patients with in-hospital mortality groups. Methods and Material: Patients with the rheumatic multivalvular disease who underwent triple valve surgery were included in the study. Statistical and analysis used Uni and bivariate analysis assessed any association between the RV-PA coupling using TAPSE/PASP and other clinical variables with the in-hospital mortality post TVS. Result: From 269 patients, the in-hospital mortality rate was 10 %. The median value of TAPSE/PASP ratio in all group is 0.41 (0.02-5.79). Impaired RV-PA coupling which value < 0.36 occurs in 38.3 % population. By multivariate analysis, independent predictors of in-hospital mortality were TAPSE/PASP < 0.36 (OR 3.46, 95 % CI 1.21 – 9.89; P 0.02), age (OR 1.04, 95 % CI 1.003-1.094; P 0.035), CPB duration, (OR 1.01, 95 % CI 1.003-1.017; P 0.005). Conclusion: RV-PA uncoupling assessed by TAPSE / PASP ratio < 0.36 is associated with the in-hospital mortality in patients post triple valve surgery. Other factors associated with the outcome were older age and longer CPB machine duration.


How to cite this article:
Soesanto AM, Hendiperdana MR, Zahara R, Tjubandi A, Juzar D, Iryuza N, Siagian SN. Association between right ventricle–Pulmonary artery coupling with in-hospital outcome after triple valve surgery in rheumatic heart disease.J Cardiovasc Echography 2022;32:212-217


How to cite this URL:
Soesanto AM, Hendiperdana MR, Zahara R, Tjubandi A, Juzar D, Iryuza N, Siagian SN. Association between right ventricle–Pulmonary artery coupling with in-hospital outcome after triple valve surgery in rheumatic heart disease. J Cardiovasc Echography [serial online] 2022 [cited 2023 Jan 31 ];32:212-217
Available from: https://www.jcecho.org/article.asp?issn=2211-4122;year=2022;volume=32;issue=4;spage=212;epage=217;aulast=Soesanto;type=0