Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Apr;191(2):699-704.
doi: 10.1007/s11845-021-02608-0. Epub 2021 Apr 6.

Examining the forgotten valve: outcomes of tricuspid valve surgery, a 15-year experience

Katie E O'Sullivan  1 , Susan Cull  2 , Lara Armstrong  2 , Aine McKendry  2 , Alastair N J Graham  2
Affiliations

Examining the forgotten valve: outcomes of tricuspid valve surgery, a 15-year experience

Katie E O'Sullivan et al. Ir J Med Sci. 2022 Apr.

Abstract

Background: We have entered an era of renewed interest in novel approaches to surgical intervention and minimally invasive and transcatheter technique. With an aging population, isolated tricuspid valve regurgitation incidence is rising; however, referral for surgical intervention remains low.

Aims: We undertook this retrospective review to assess outcomes and challenges associated with tricuspid valve intervention.

Methods: A comprehensive retrospective review of all patients undergoing tricuspid valve intervention in our institution between 2004 and 2018 was carried out.

Results: A total of 259 patients who underwent a tricuspid intervention between 2004 and 2018 were identified. Of those, 229 underwent a repair and 30 underwent a replacement. Median survival for repair was 3124 days, and replacement was 2294 days. In-patient mortality was 12% for those undergoing repair and 7% for the replacement patients. Of those undergoing redo tricuspid valve intervention, eight patients (61.5%) were alive at most recent follow-up. Eight patients required intraoperative pacemakers, 2 required postoperative pacemakers. Of those who had intraoperative epicardial pacing systems placed, 5 of the 8 remained pacing dependent on most recent follow up.

Conclusion: Beyond technical challenges, decision making regarding pacemaker requirement requires further exploration. Redo tricuspid valve surgery carries a significant mortality risk and consideration should be given to earlier intervention in this context.

Keywords: Pacemaker; Redo; Repair; Replacement; Tricuspid.

PubMed Disclaimer

References

    1. Stuge O, Liddicoat J (2006) Emerging opportunities for cardiac surgeons within structural heart disease. J Thorac Cardiovasc Surg 132(6):1258–1261 - DOI
    1. Alushi B, Vathie K, Thiele H, Lauten A (2020) Transcatheter therapies for severe tricuspid regurgitation. Quo vadis? Herz
    1. Nath J, Foster E, Heidenreich PA (2004) Impact of tricuspid regurgitation on long-term survival. J Am Coll Cardiol 43(3):405–409 - DOI
    1. Starck CT, Kempfert J, Falk V (2015) Tricuspid valve interventions: surgical techniques and outcomes. Euro Intervention. 11 Suppl W:W128–32
    1. Brescia AA, Ward ST, Watt TMF et al (2020) Outcomes of guideline-directed concomitant annuloplasty for functional tricuspid regurgitation. Ann Thorac Surg 109(4):1227–1232 - DOI

LinkOut - more resources