European heart journal cardiovascular Imaging
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Eur Heart J Cardiovasc Imaging · Sep 2018
Comparative StudyPrognostic relevance of mitral and tricuspid regurgitation in patients with severe aortic stenosis.
Although concomitant mitral regurgitation (MR) and tricuspid regurgitation (TR) are frequently present in patients with aortic stenosis (AS), outcome data are scarce and treatment strategies are controversial. The aim of the present study was to assess the presentation and outcome of patients with AS and coexisting MR and TR. ⋯ Presence of MR in patients with severe AS characterizes a high-risk population. Timely aortic valve intervention confers a survival benefit and concomitant mitral valve surgery should be considered according to operative risk. The additional presence of significant TR is associated with dismal outcomes, regardless of the treatment strategy.