Surgical outcomes of severe tricuspid regurgitation: predictors of adverse clinical outcomes

Abstract

Long-term survival after TV surgery for severe TR was affected by several preoperative factors including advanced heart failure symptom, comorbidity, end-organ dysfunction and laboratory abnormalities, but not by the type of surgery or causes of TR.

Prognostic Value of Preoperative Right Ventricular Geometry and Tricuspid Valve Tethering Area in Patients Undergoing Tricuspid Annuloplasty

“…[5][6][7][8] Surgical indications and types of surgery have been poorly described in patients undergoing TA, 3,4 and few clinical reports have evaluated patients' prognosis to determine the predictors of adverse outcome. Parameters such as laboratory testing, 9,10 New York Heart Association (NYHA) class, 10 and RV function 11 have been shown to be prognostic factors for these patients. However, the prognostic implications of RV echocardiography parameters have not been studied.…”

Tricuspid Regurgitation: Clinical Importance and Its Optimal Surgical Timing

“…Kim et al4) showed that, in patients with NYHA functional class II symptoms, operative mortality was only 4.8%, and that 2-year event-free survival rate was 90%, which was in clear contrast to the results obtained in patients with NYHA functional class III or IV symptoms. Another study also displayed that the presence of advanced heart failure symptoms is an independent determinant of mortality 5). Topilsky et al6) showed in patients with severe TR with or without concomitant another valve surgery that operative mortality can be reduced to around 6% when patients are operated on before the development of NYHA functional class IV symptoms.…”

Valve disease and non-cardiac surgery

“…It is an independent marker of a poor outcome late after surgery for left-sided disease37 as well as in pregnancy32 and it increases the risk of non-cardiac surgery in patients with severe AS 5. Cardiac surgical risk in the presence of severe TR is affected more by RV function than the grade of TR or the PA pressure 38. This is likely to be true also for non-cardiac surgery but little information exists.…”