Key result
Isolated surgical tricuspid valve repair is linked to ~85% 30-day survival without redo procedures.
Why the study?
Long-term data on isolated surgical tricuspid valve procedures is limited, despite guidelines recommending valve repair over replacement.
Observational (n=26)
No
Isolated surgical tricuspid valve repair provides acceptable survival and freedom from redo procedures, supporting its use as a treatment of choice for isolated tricuspid pathology.
Single-center experience supports isolated TV repair feasibility; leaves open need for prospective comparisons to replacement.
OBJECTIVES: Long-term data on isolated surgical tricuspid valve procedures is limited. Current guidelines on heart valve disease recommend valve repair over valve replacement. In this study we report our 12-year single-center experience with isolated surgical tricuspid valve repair in patients with various tricuspid valve pathologies. METHODS: Between May 2007 and December 2019, 26 consecutive patients underwent isolated tricuspid valve annuloplasty/repair for various indications. In 18 patients (69.2%) an open ring or band annuloplasty (26.9 and 42.3%, respectively) was performed, 5 patients (19.2%) underwent a tightening of the annulus using the DeVega technique, 5 patients (19.2%) had a leaflet reconstruction with patch or bicuspidalization and in 3 patients (11.5%) a leaflet debridement was performed. In 15.4% of the cohort a combination of the techniques was utilized. RESULTS: The mean follow-up time was 2.1 (0.3-5.0) years. Early survival at 30 days after surgery was 84.6%. Mean hospital stay was 11 (6.7-16) days. One-year survival was 73%. No patient required a redo procedure on the tricuspid valve during follow-up. CONCLUSION: Tricuspid valve repair is suggested as a treatment of choice according to recent guidelines on heart valve disease. If chosen correctly, various repair techniques provide good long-term results. Tricuspid valve repair may be safely applied in patients undergoing surgical isolated tricuspid valve procedures.
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Zubarevich et al. (2020) conducted an observational in Isolated tricuspid valve pathology (n=26). Isolated surgical tricuspid valve repair was evaluated on Death in short- and mid-term follow-up (30-day survival). Isolated surgical tricuspid valve repair resulted in an 84.6% 30-day survival and 73% 1-year survival, with no patients requiring a redo procedure on the tricuspid valve during follow-up.
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