Evidence map›Paper›PMID 36975875›Full record

ReviewJournal of cardiovascular development and disease2023

Tricuspid Valve Regurgitation in Hypoplastic Left Heart Syndrome: Current Insights and Future Perspectives.

Colton J Ross, Arshid Mir, Harold M Burkhart, Gerhard A Holzapfel, Chung-Hao Lee

Open access · goldFull text readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. The long-term impact of the tricuspid valve intervention after Fontan completion.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Colton J RossBiomechanics and Biomaterials Design Laboratory, University of Oklahoma, Norman, OK 73019, USA.ORCID 0000-0002-8871-6016
Arshid MirDepartment of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Harold M BurkhartDepartment of Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Gerhard A HolzapfelInstitute of Biomechanics, Graz University of Technology, 8010 Graz, Austria.
Chung-Hao LeeBiomechanics and Biomaterials Design Laboratory, University of Oklahoma, Norman, OK 73019, USA.ORCID 0000-0002-8019-3329
University of Oklahoma · USUniversity of Oklahoma Health Sciences Center · USNorwegian University of Science and Technology · NO

Funding

American Heart Association 16SDG27760143National Science Foundation GRF 2020307284Presbyterian Health Foundation Team Science Grant
6 · The paper itself

Abstract

Hypoplastic Left Heart Syndrome (HLHS) is a congenital heart defect that requires a three-stage surgical palliation to create a single ventricle system in the right side of the heart. Of patients undergoing this cardiac palliation series, 25% will develop tricuspid regurgitation (TR), which is associated with an increased mortality risk. Valvular regurgitation in this population has been extensively studied to understand indicators and mechanisms of comorbidity. In this article, we review the current state of research on TR in HLHS, including identified valvular anomalies and geometric properties as the main reasons for the poor prognosis. After this review, we present some suggestions for future TR-related studies to answer the central question: What are the predictors of TR onset during the three palliation stages? These studies involve (i) the use of engineering-based metrics to evaluate valve leaflet strains and predict tissue material properties, (ii) perform multivariate analyses to identify TR predictors, and (iii) develop predictive models, particularly using longitudinally tracked patient cohorts to foretell patient-specific trajectories. Regarded together, these ongoing and future efforts will result in the development of innovative tools that can aid in surgical timing decisions, in prophylactic surgical valve repair, and in the refinement of current intervention techniques.

Indexed as

engineering-based analysisinverse finite element simulationspredictive modelingsurgical interventionvalve tissue biomechanics

Identifiers

PMID36975875
PMCPMC10051129
OpenAlexW4323361806

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read15
measurements read46
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.