Background: We assessed risk factors for early mortality in isolated total anomalous pulmonary venous connection over a modern era excluding emergent cases to eliminate the influence of associated factors on surgical outcome.  Methods: 70 patients with isolated total anomalous pulmonary venous connection who were repaired electively between January 2013 and February 2018 were included. Results: In-hospital mortality was encountered in 4 patients (5.7%). Upon univariate analysis, low age (P = .003) and weight (P = .001) at surgery, preoperative pulmonary venous obstruction (P = .010), preoperative low oxygen saturation (P = .031), long cardiopulmonary bypass (P = .001) and aortic cross clamp (P = .003) times, long duration of mechanical ventilation (P = .001), chest infection (P = 0.041), postoperative low CO syndrome (P < .001) and long postoperative inotropic support (P = .015) were significant predictors of in-hospital mortality. In multivariate analysis postoperative low cardiac output syndrome (OR: 1.060; 95% CI: 1.008-1.116) and prolonged postoperative mechanical ventilation (OR: 1.772; 95% CI: 1.141-2.751) were independent factors of in-hospital mortality. Conclusion: Surgical repair of TAPVC is now performed with acceptable results. According to our study, postoperative low cardiac output syndrome and prolonged postoperative mechanical ventilation were the most significant predictors for early mortality.

Surgery for tricuspid valve endocarditis (TVE) can be performed with good early and mid-term results. A large size of vegetations >2.2 cm is a significant risk factor for embolic complications. Preoperative predictors of in-hospital mortality according to our study are pulmonary embolization, congestive heart failure, and pericardial effusion.

Background: In this study, we evaluate different annuloplasty modalities to repair functional tricuspid regurgitation. Patients and methods: Between January 2011 and January 2017, 200 patients with moderate or greater functional tricuspid regurgitation received tricuspid valve repair as part of primary surgeries on the left side of their cardiac valves. Of these, 39 patients received rings (Group A), 84 patients received bands (Group B), and 77 patients received suture annuloplasty (Group C). Results: Two patients from Group C were operated on again, during the primary hospital stay due to severe symptomatic tricuspid regurgitation. The degrees of early postoperative tricuspid regurgitation – mean vena contracta and mean jet area – significantly were higher in Group C. During a mean follow-up period of 26 ± 12.6 months, 5 patients within Group C (6.85%) and one patient in Group B (1.3%) were operated on again with tricuspid valve replacement due to severe symptomatic tricuspid incompetence. Also during follow up, mean degrees of tricuspid regurgitation, mean vena contracta, and mean jet areas significantly were higher in Group C. Conclusion: Patients who received rings followed by band annuloplasty had better early and late results with lower recurrence rates than those who received suture annuloplasty

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Background: This is a prospective randomized-controlled study aiming to determine whether the optimal surgical management of moderate ischemic mitral regurgitation is to revascularize the heart through performing coronary artery bypass grafting alone or together with repairing the mitral valve. Methods: Between April 2014 and November 2014, 40 patients with ischemic heart disease associated with moderate ischemic mitral regurgitation at our University hospitals were divided into 2 matched groups. Group 1 received both coronary artery bypass grafting surgery together with mitral valve repair, while Group 2 underwent coronary artery bypass grafting surgery alone. Results: No statistically significant difference was found between both study groups, in terms of operative data, except for cardiopulmonary bypass time and aortic cross-clamp time, which were significantly longer in Group 1 (P < .001). Only one case died in the study in Group 1 on the third postoperative day, due to severe low cardiac output syndrome. During the follow up, NYHA class improved in Group 1 from 2.6 to 1.35 (P < .004), but in Group 2 NYHA class improved from 2.55 to 1.72 (P = .07). The degree of MR improved in 19 patients (95%) in Group 1 compared with 15 (75%) patients in Group 2 (P < .0001). Conclusion: Our study showed meaningful advantages of adding mitral-valve repair to CABG in patients with ischemic heart disease and moderate ischemic mitral regurgitation, regarding the degree of MR and functional NYHA class. On the other hand, there was no statistically significant difference between both groups in postoperative coarse and in-hospital mortality.