Long-term outcomes of tricuspid valve plasty vs. replacement after cardiac surgery: Mortality, reoperation, and anticoagulation complications in patients with postoperative tricuspid regurgitation

Linbin Hua; Shanwen Pang; Zhaolong Zhang; Jing Chen; Jie Qiu; Qiuji Wang; Zhenzhong Wang; Lishan Zhong; Yingjie Ke; Huanlei Huang

doi:10.1016/j.ijcard.2025.134080

December 7, 2025International Journal of CardiologyOpen Access

Long-term outcomes of tricuspid valve plasty vs. replacement after cardiac surgery: Mortality, reoperation, and anticoagulation complications in patients with postoperative tricuspid regurgitation

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Key Points

Mortality rates remained stable when comparing tricuspid valve plasty and replacement outcomes in patients with postoperative tricuspid regurgitation.
Analysis indicated fewer bleeding complications associated with tricuspid valve plasty compared to replacement following cardiac surgery.
This study strengthens the case for a repair-first strategy which may afford better early recovery for patients undergoing redo cardiac surgery.
Identifying suitable anatomy is crucial for implementing this strategy, particularly for patients at elevated bleeding risk.

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Implication

Observational analysis shows lower bleeding risk with tricuspid valve plasty in postoperative patients, suggesting a repair-first approach may benefit recovery times.

Abstract

In patients with severe TR undergoing redo cardiac surgery, TVP yielded faster early recovery, fewer bleeding complications, and a numerically lower reoperation rate without compromising long-term survival. These findings support a repair-first strategy when anatomy is suitable, particularly in patients at elevated bleeding risk.

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Hua et al. (2025) studied this question.

synapsesocial.com/papers/694020ee2d562116f28faf4f https://doi.org/10.1016/j.ijcard.2025.134080

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Long-term outcomes of tricuspid valve plasty vs. replacement after cardiac surgery: Mortality, reoperation, and anticoagulation complications in patients with postoperative tricuspid regurgitation

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Long-term outcomes of tricuspid valve plasty vs. replacement after cardiac surgery: Mortality, reoperation, and anticoagulation complications in patients with postoperative tricuspid regurgitation

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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