Twenty-five year outcomes of tricuspid valve replacement comparing mechanical and biologic prostheses

The Annals of Thoracic Surgery
Andrea GarattiLorenzo Menicanti

Abstract

Tricuspid valve replacement (TVR) has historically been associated with high mortality and morbidity, and current knowledge of long-term results of TVR is limited. This study reviewed our experience from a consecutive series at 2 institutions. Ninety patients (65 women [72%]; mean age, 53.8 ± 14.2 years; mean body surface area, 1.6 ± 0.2 m(2)) underwent TVR between January 1980 and December 2005. The etiology was secondary to left-heart valve disease in 56 patients (62%), degenerative disease in 16 (18%), Ebstein anomaly in 7 (8%), and endocarditis in 11 (12%). Seventy patients (78%) were in New York Heart Association class III or IV. Sixty patients (67%) underwent redo procedures. TVR was with a mechanical valve in 46 patients (51%) and a biologic prosthesis in 44 (49%). The overall operative mortality was 17.7% (16 patients). During follow-up, 16 of the 74 survivors died. Kaplan-Meier survival at 5, 10, and 15 years was, respectively, 72%, 65%, and 63%. During follow-up, 16 patients (21.6%) underwent reoperation; among them, 8 with a mechanical valve underwent reoperation for tricuspid valve thrombosis and 6 with a biologic prosthesis for tricuspid valve deterioration. However, freedom from reoperation at 5 and 10 years was s...Continue Reading

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Citations

Jan 25, 2013·General Thoracic and Cardiovascular Surgery·Takahiro Nishida, Ryuji Tominaga
May 21, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ymkje J van SlootenPetronella G Pieper
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Nov 28, 2013·Heart Failure Clinics·Jonathan GinnsPierre-Luc Bernier
Apr 30, 2014·Revista Española De Cardiología·José María González-Santos, María Elena Arnáiz-García
Mar 28, 2012·The Annals of Thoracic Surgery·Ko Bando
Dec 18, 2015·The Annals of Thoracic Surgery·Amedeo AnselmiAlain Leguerrier
Feb 26, 2016·Current Cardiology Reports·Joanna Ghobrial, Jamil Aboulhosn
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Nov 10, 2021·Journal of Cardiac Surgery·Khaled E Al-Ebrahim

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