Key result
Isolated tricuspid valve repair was associated with improved cumulative survival compared to replacement (P=0.001), with 30-day mortality of 4.0% vs 8.0% (P=0.115).
Why the study?
Despite rapidly increasing interest in isolated tricuspid valve disease, clinical trials and registry data remain rare in the surgical literature.
Does isolated tricuspid valve repair improve survival and reduce complications compared to replacement in adult patients undergoing isolated tricuspid valve surgery?
Cohort (n=426)
Yes
Does isolated tricuspid valve repair improve survival and reduce complications compared to replacement in adult patients undergoing isolated tricuspid valve surgery?
Absolute Event Rate: 4% vs 8%
p-value: p=0.115
Isolated tricuspid valve repair is associated with reduced early complications and improved long-term survival compared to replacement, without increasing the risk of reoperation.
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May support repair over replacement in isolated tricuspid surgery; leaves open need for randomized confirmation.
Russo et al. (2022) conducted a cohort in Isolated tricuspid valve disease (n=426). Isolated tricuspid valve repair vs. Isolated tricuspid valve replacement was evaluated on 30-day mortality (p=0.115). Isolated tricuspid valve repair was associated with improved cumulative survival compared to replacement (P=0.001), with 30-day mortality of 4.0% vs 8.0% (P=0.115).
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