Surgical technique does not influence the long term mortality after tricuspid valve surgery

2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
K.-W. Felkel ◽  
K. Kampmann ◽  
F. Hahnel ◽  
H. Reichenspurner ◽  
H. Gulbins
Keyword(s):  
Surgical Technique ◽  
Tricuspid Valve ◽  
Valve Surgery ◽  
Tricuspid Valve Surgery ◽  
Long Term Mortality

scholarly journals Outcomes of Isolated Tricuspid Valve Surgery

2020 ◽  
Vol 23 (6) ◽  
pp. E763-E769
Author(s):  
Gemma Sánchez-Espín ◽  
Jorge Rodríguez-Capitán ◽  
Juan José Otero Forero ◽  
Víctor Manuel Becerra Muñoz ◽  
Emiliano Andrés Rodríguez Caulo ◽  
...  
Keyword(s):  
Tricuspid Valve ◽  
Tricuspid Regurgitation ◽  
Functional Class ◽  
Valve Surgery ◽  
Perioperative Mortality ◽  
Severe Tricuspid Regurgitation ◽  
Tricuspid Valve Surgery ◽  
Long Term Mortality

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.

Predictors of Long-term Outcomes in Patients Undergoing Tricuspid Valve Surgery with Right Ventricular Failure

2021 ◽  
Vol 5 (sup1) ◽  
pp. 49-49
Author(s):  
Ee Phui Kew ◽  
Vincenzo Caruso ◽  
Antonio Bivona ◽  
Paolo Bosco ◽  
Gianluca Lucchese
Keyword(s):  
Right Ventricular ◽  
Tricuspid Valve ◽  
Valve Surgery ◽  
Right Ventricular Failure ◽  
Long Term Outcomes ◽  
Ventricular Failure ◽  
Tricuspid Valve Surgery

scholarly journals Haemodynamic determinants of improved aerobic capacity after tricuspid valve surgery in Ebstein anomaly

Heart ◽  
2020 ◽  
pp. heartjnl-2020-317756
Author(s):  
Alexander Egbe ◽  
William Miranda ◽  
Heidi Connolly ◽  
Joseph Dearani
Keyword(s):  
Relative Risk ◽  
Tricuspid Valve ◽  
Aerobic Capacity ◽  
Tricuspid Regurgitation ◽  
Valve Surgery ◽  
Ebstein Anomaly ◽  
Severe Tricuspid Regurgitation ◽  
Tricuspid Valve Surgery ◽  
Postoperative Improvement

BackgroundAlthough tricuspid valve surgery improves functional capacity in patients with Ebstein anomaly, it is not always associated with improvement in aerobic capacity. The purpose of this study was to identify the determinants of improved aerobic capacity after tricuspid valve surgery in adults with Ebstein anomaly with severe tricuspid regurgitation.MethodsRetrospective study of patients with severe tricuspid regurgitation due to Ebstein anomaly that had tricuspid valve surgery at Mayo Clinic Rochester (2000–2019) and had preoperative and postoperative cardiopulmonary exercise tests and echocardiograms. The patients were divided into aerobic capacity(+) and aerobic capacity(-) groups depending on whether they had postoperative improvement in %-predicted peak oxygen consumption (VO2).ResultsOf 76 patients with severe tricuspid regurgitation due to Ebstein anomaly, 28 (37%) and 48 (63%) were in aerobic capacity(+) and aerobic capacity(-) groups, respectively. The average improvement in peak VO2 was 2.1±1.4 mL/kg/min and −0.9±0.4 mL/kg/min in the in aerobic capacity(+) and aerobic capacity(-) groups, respectively. Although both groups had similar severity of residual tricuspid regurgitation, the aerobic capacity(+) group had more postoperative improvement in right atrial (RA) function, left atrial (LA) function and left ventricular preload and stroke volume. Of the preoperative variables analysed, RA reservoir strain (relative risk 1.12; 95% CI 1.06 to 1.18); LA reservoir strain (relative risk 1.09; 95% CI 1.04 to 1.14) and LV stroke volume index (OR 1.04; 95% CI 1.01 to 1.07) were predictors of postoperative improvement in peak VO2.ConclusionsOne-third of patients with severe tricuspid regurgitation due to Ebstein anomaly had postoperative improvement in aerobic capacity, and atrial function indices were the best predictors of postoperative improvement in aerobic capacity. These data provide new insight into the haemodynamic determinants of exercise capacity and lay the foundation for further studies to determine whether postoperative improvement in aerobic capacity translates to improved long-term survival, and whether timing of tricuspid valve surgery based on these echocardiographic indices will improve long-term outcomes.

scholarly journals Perioperative predictors of permanent pacing and long-term dependence following tricuspid valve surgery: a multicentre analysis

EP Europace ◽  
2017 ◽  
Vol 19 (12) ◽  
pp. 1988-1993 ◽  
Author(s):  
Philip L Mar ◽  
Christopher R Angus ◽  
Rajesh Kabra ◽  
Christopher K Migliore ◽  
Rohan Goswami ◽  
...  
Keyword(s):  
Tricuspid Valve ◽  
Valve Surgery ◽  
Permanent Pacing ◽  
Tricuspid Valve Surgery
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