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Outcomes of Isolated Tricuspid Valve Surgery Have Improved in the Modern Era

Wednesday, July 10, 2019

Submitted by

Claire Vernon

Source

Source Name: The Annals of Thoracic Surgery

Source URL: https://doi.org/10.1016/j.athoracsur.2019.03.004

Author(s)

Mohanad Hamandi, Robert L. Smith, William H. Ryan, Paul A. Grayburn, Anupama Vasudevan, Timothy J. George, J. Michael DiMaio, Kelley A. Hutcheson, William Brinkman, Molly Szerlip, David O. Moore, Michael J. Mack

Hamandi and colleagues reviewed outcomes for 95 patients who underwent isolated tricuspid valve (TV) surgery between 2007 and 2017 at their institution. For 41% of patients, the procedure was reoperative, following either prior coronary artery bypass grafting or prior valve surgery. Valve repair was performed in over 70% of patients. Operative mortality was low, being 3.2% overall and with no mortality in the last 6 years studied (73 patients). The authors conclude that careful patient selection and current periprocedural management have improved morbidity and mortality of isolated TV surgery, and they suggest that these outcomes can serve as a benchmark for catheter-based TV interventions.