Outcomes of Isolated Tricuspid Valve Surgery

Authors

  • Gemma Sánchez-Espín Unidad de Gestión Clínica del Corazón, Hospital Virgen de la Victoria de Málaga, Málaga, Spain, Instituto Biosanitario Málaga (IBIMA), CIBERCV Málaga. Universidad de Málaga (UMA), Málaga, Spain
  • Jorge Rodríguez-Capitán Unidad de Gestión Clínica del Corazón, Hospital Virgen de la Victoria de Málaga, Málaga, Spain, Instituto Biosanitario Málaga (IBIMA), CIBERCV Málaga. Universidad de Málaga (UMA), Málaga, Spain
  • Juan J. Otero-Forero Unidad de Gestión Clínica del Corazón, Hospital Virgen de la Victoria de Málaga, Málaga, Spain, Instituto Biosanitario Málaga (IBIMA), CIBERCV Málaga. Universidad de Málaga (UMA), Málaga, Spain
  • Víctor M. Becerra-Muñoz Unidad de Gestión Clínica del Corazón, Hospital Virgen de la Victoria de Málaga, Málaga, Spain, Instituto Biosanitario Málaga (IBIMA), CIBERCV Málaga. Universidad de Málaga (UMA), Málaga, Spain
  • Emiliano A. Rodríguez-Caulo Servicio de Cirugía Cardiovascular, Hospital Virgen Macarena, Sevilla, Spain
  • Miguel Such-Martínez Unidad de Gestión Clínica del Corazón, Hospital Virgen de la Victoria de Málaga, Málaga, Spain, Instituto Biosanitario Málaga (IBIMA), CIBERCV Málaga. Universidad de Málaga (UMA), Málaga, Spain
  • Carlos Porras-Martín Unidad de Gestión Clínica del Corazón, Hospital Virgen de la Victoria de Málaga, Málaga, Spain, Instituto Biosanitario Málaga (IBIMA), CIBERCV Málaga. Universidad de Málaga (UMA), Málaga, Spain
  • José M. Villaescusa-Catalán Unidad de Gestión Clínica del Corazón, Hospital Virgen de la Victoria de Málaga, Málaga, Spain, Instituto Biosanitario Málaga (IBIMA), CIBERCV Málaga. Universidad de Málaga (UMA), Málaga, Spain
  • María J. Mataró-López Unidad de Gestión Clínica del Corazón, Hospital Virgen de la Victoria de Málaga, Málaga, Spain, Instituto Biosanitario Málaga (IBIMA), CIBERCV Málaga. Universidad de Málaga (UMA), Málaga, Spain
  • Arantza Guzón-Rementería Unidad de Gestión Clínica del Corazón, Hospital Virgen de la Victoria de Málaga, Málaga, Spain, Instituto Biosanitario Málaga (IBIMA), CIBERCV Málaga. Universidad de Málaga (UMA), Málaga, Spain
  • José M. Melero-Tejedor Unidad de Gestión Clínica del Corazón, Hospital Virgen de la Victoria de Málaga, Málaga, Spain, Instituto Biosanitario Málaga (IBIMA), CIBERCV Málaga. Universidad de Málaga (UMA), Málaga, Spain
  • Encarnación Gutierrez-Carretero Servicio de Cirugía Cardiovascular, Hospital Virgen del Rocío, Sevilla, Spain, CIBERCV Sevilla, Spain
  • Manuel F. Jiménez-Navarro Unidad de Gestión Clínica del Corazón, Hospital Virgen de la Victoria de Málaga, Málaga, Spain, Instituto Biosanitario Málaga (IBIMA), CIBERCV Málaga. Universidad de Málaga (UMA), Málaga, Spain

DOI:

https://doi.org/10.1532/hsf.3093

Keywords:

Tricuspid regurgitation, Isolated tricuspid valve surgery, Valve repair, Valve replacement

Abstract

Background: Isolated tricuspid valve surgery is a rarely performed procedure and traditionally is associated with a bad prognosis, although its clinical outcomes still are little known. The aim of this study was to assess the short- and long-term clinical outcomes obtained at our center after isolated tricuspid valve surgery as treatment for severe tricuspid regurgitation.

Methods: This retrospective study included 71 consecutive patients with severe tricuspid regurgitation who underwent isolated tricuspid valve surgery between December 1996 and December 2017. Perioperative and long-term mortality, tricuspid valve reoperation, and functional class were analyzed after follow up.

Results: Regarding surgery, 7% of patients received a De Vega annuloplasty, 14.1% an annuloplasty ring, 11.3% a mechanical prosthesis, and 67.6% a biological prosthesis. Perioperative mortality was 12.7% and no variable was shown to be predictive of this event. After a median follow up of 45.5 months, long-term mortality was 36.6%, and the multivariate analysis identified atrial fibrillation as the only predictor (Hazard Ratio 3.014, 95% confidence interval 1.06-8.566;
P = 0.038). At the end of follow up, 63.6% of survivors had functional class I.

Conclusions: Isolated tricuspid valve surgery was infrequent in our center. Perioperative mortality was high, as was long-term mortality. However, a high percentage of survivors were barely symptomatic after follow up.

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Published

2020-10-15

How to Cite

Sánchez-Espín, G. ., Rodríguez-Capitán, J., Otero Forero, J. J., Becerra Muñoz, V. M. ., Rodríguez Caulo, E. A., Such-Martínez, M. ., Porras-Martín, C. ., Villaescusa-Catalán, J. M., Mataró-López, M. J. ., Guzón-Rementería, A., Melero-Tejedor, J. M., Gutiérrez-Carretero, E., & Jiménez Navarro, M. F. (2020). Outcomes of Isolated Tricuspid Valve Surgery. The Heart Surgery Forum, 23(6), E763-E769. https://doi.org/10.1532/hsf.3093

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