December 7, 2025International Journal of Cardiology0 citationsOpen Access

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

LHLinbin HuaGuangdong Academy of Medical Sciences SPShanwen PangGuangdong Academy of Medical Sciences ZZZhaolong ZhangQingdao University

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.

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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