Why the study?
Patients with isolated TR without left-sided valvular dysfunction have historically been managed nonoperatively, and the impact of surgery on survival needed assessment.
Does tricuspid valve surgery improve survival in adult patients with isolated severe tricuspid regurgitation compared to medical management?
Population
3,276 adult patients with isolated severe TR
Comparison
Tricuspid valve surgery vs nonoperative medical management
Design
Retrospective database analysis with propensity matching
Authors
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Does not support tricuspid surgery for survival benefit in practice; leaves open its net role pending randomized trials.
Does tricuspid valve surgery improve survival in adult patients with isolated severe tricuspid regurgitation compared to medical management?
Tricuspid valve surgery does not appear to improve long-term survival compared to medical management in patients with isolated severe tricuspid regurgitation when accounting for immortal time bias.
Axtell et al. (2019) studied this question.
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