Short- and Long-term Outcomes of Surgery for Severe Tricuspid Regurgitation

Rodríguez-Capitán, Jorge; Gómez‐Doblas, Juan José; Fernández-López, Leticia; López-Salguero, Raúl; Ruiz, Manuel Delgado; Leruite, Inés; Cabrera-Bueno, Fernando; Mataró-López, María J.; Sánchez-Espín, Gemma; Melero-Tejedor, José María; Porras, Carlos; Such, Miguel; Teresa, Eduardo de

doi:10.1016/j.rec.2013.02.002

Cited by 11 publications

(9 citation statements)

References 20 publications

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“…Likewise, the decrease in perioperative mortality observed from May 2013 (17.1% compared with 8.3%) did not reach statistical significance. Our group has previously published its global results for tricuspid surgery (both isolated and associated with another procedure) in two papers: The first evaluated the patients operated on between April 1996 and February 2010, while the second included the patients undergoing procedures between March 2010and December 2013[Rodríguez-Capitán 2013Becerra-Muñoz 2019]. Perioperative mortality went from 18.5% in the older series to 8% in the more recent, in parallel with this paper's findings on isolated tricuspid surgery.…”

Section: Discussionmentioning

confidence: 71%

Outcomes of Isolated Tricuspid Valve Surgery

Sánchez-Espín

Rodríguez-Capitán

Forero

et al. 2020

HSF

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Background: Isolated tricuspid valve surgery is a rarely performed procedure and traditionally is associated with a bad prognosis, although its clinical outcomes still are little known. The aim of this study was to assess the short- and long-term clinical outcomes obtained at our center after isolated tricuspid valve surgery as treatment for severe tricuspid regurgitation. Methods: This retrospective study included 71 consecutive patients with severe tricuspid regurgitation who underwent isolated tricuspid valve surgery between December 1996 and December 2017. Perioperative and long-term mortality, tricuspid valve reoperation, and functional class were analyzed after follow up. Results: Regarding surgery, 7% of patients received a De Vega annuloplasty, 14.1% an annuloplasty ring, 11.3% a mechanical prosthesis, and 67.6% a biological prosthesis. Perioperative mortality was 12.7% and no variable was shown to be predictive of this event. After a median follow up of 45.5 months, long-term mortality was 36.6%, and the multivariate analysis identified atrial fibrillation as the only predictor (Hazard Ratio 3.014, 95% confidence interval 1.06-8.566; P = 0.038). At the end of follow up, 63.6% of survivors had functional class I. Conclusions: Isolated tricuspid valve surgery was infrequent in our center. Perioperative mortality was high, as was long-term mortality. However, a high percentage of survivors were barely symptomatic after follow up.

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Section: Discussionmentioning

confidence: 71%

Outcomes of Isolated Tricuspid Valve Surgery

Sánchez-Espín

Rodríguez-Capitán

Forero

et al. 2020

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“…Our mortality results are in accordance with those reported in the literature, which are usually in the range of 25‐40%, with the only exception of Park et al who reported a relatively low mid‐term mortality. Rodríguez‐Capitán et al reported a perioperative mortality of 18.5% for tricuspid valve surgery, with a mortality of 29.9% at 41 months follow‐up. Their mortality was associated with age and cardiopulmonary bypass time.…”

Section: Discussionmentioning

confidence: 99%

Tricuspid valve replacement with mechanical prostheses: Short and long-term outcomes

et al. 2017

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In this series of mechanical tricuspid valve replacements in patients with predominately rheumatic heart disease, operative and long-term mortality were increased; however, survivors had significant improvement in their NYHA class and freedom from right heart failure symptoms. Three preoperative factors (age, diabetes mellitus, and coronary artery disease) were independently associated with long-term mortality.

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“…1,2 Patients with a Significant TI have a markedly reduced life expectancy, even if the hemodynamic is often well tolerated over a long period of time. 3 Functional tricuspid regurgitation is most commonly due to pulmonary hypertension and right ventricular volume overload caused by left sided valvular lesion, the chronic volume and pressure load of the right ventricle leads to RV dilatation and Dysfunction. The tricuspid valve annulus dilates in the septal-lateral direction in the region of the free RV wall.…”

Section: Introductionmentioning

confidence: 99%

De Vega annuloplasty versus ring annuloplasty for repair of functional tricuspid regurgitation

Alnawaiseh¹,

Albkhoor²,

Alnaser³

et al. 2018

Int J Res Med Sci

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Background: Tricuspid insufficiency (TI) is a functional insufficiency in most of the cases and associated with the dilatation of the annulus and remolding. Pulmonary hypertension and right ventricular volume overload due to chronic aortic or / and mitral valve disease in most of the time causes the functional tricuspid insufficiency. Despite the different techniques used to repair the tricuspid valve, the recurrent TR is still occurring in 20- 30 % of the patients and the development of late TR is an important complication of left heart surgery. Our study aims to compare the long-term outcome of ring annuloplasty with De Vega annnuloplasty in patients with secondary tricuspid regurgitation (TR).Methods: A retrospective study of 320 patients who underwent tricuspid valve repair surgery for secondary tricuspid regurgitation from January 2002 to December 2010 at Queen Alia Heart Institute (QAHI). Patients were divided into two groups, in group (1) (n=180) patients had an annuloplasty ring. Group (2) (n=140) patients had De Vega procedure (no ring). The procedures were performed in association with mitral valve surgery in 78% of patients, aortic valve surgery in 15% and combined aortic and mitral valve surgery in 7% of patients. TR grade, NYHA functional class and Pulmonary artery pressure were nearly similar and no significant preoperative difference between the two groups.Results: Echocardiographic and clinical follow up were done for all patients. The duration of procedure for both De Vega and ring annuloplasty were nearly similar. The overall survival in ring group at 5year was 83.9% versus 77.9% in De Vega group. Freedom from residual and recurrent TR, event free survival and long-term survival were significantly better in the ring group and also the tricuspid valve reoperation were less in the ring group.Conclusions: The implantation of annuloplasty ring results in lower incidence of residual or recurrent of tricuspid regurgitation, improved the event-free survival and long-term survival when compared with the sewing techniques such as De Vega.

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Short- and Long-term Outcomes of Surgery for Severe Tricuspid Regurgitation

Cited by 11 publications

References 20 publications

Outcomes of Isolated Tricuspid Valve Surgery

Outcomes of Isolated Tricuspid Valve Surgery

Tricuspid valve replacement with mechanical prostheses: Short and long-term outcomes

De Vega annuloplasty versus ring annuloplasty for repair of functional tricuspid regurgitation

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