Why the study?
Preoperative risk estimation is missing and currently used risk score systems are not validated for isolated tricuspid surgery, a rarely performed procedure considered at high risk for mortality.
Combining multiple risk scores (EuroSCORE II, STS-TVS, MELD, TRI-SCORE) may improve preoperative mortality risk estimation for isolated tricuspid surgery.
Risk stratification remains inadequate for isolated tricuspid surgery; leaves open need for dedicated, validated scores before clinical use.
BACKGROUND: Isolated tricuspid surgery is a rarely performed procedure considered at high risk for mortality. Preoperative risk estimation is still a s missing process and currently used risk score system are not validated for this procedures. AIM: To discuss the external validation of the EuroSCORE II and STS-TVS score in the setting of isolated tricuspid valve surgery. DISCUSSION: The stratification of the patient profile and risk estimation are still lacking in isolated tricuspid surgery. MELD Score, EuroSCORE II and STS-TVS score may help in the preoperative evaluation. Recently a dedicated score called TRI-SCORE has been introduced. We believe that the combination of these scores may determine a range of expected mortality rate and it could be an interesting approach to define the preoperative risk-profile of a patient planned for isolated tricuspid disease. Conclusion Further studies are needed to define the optimal risk stratification of patient affected by isolated tricuspid disease.
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Russo et al. (2021) studied this question.
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