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Isolated tricuspid valve surgery; long-term outcomes based on Tehran Heart Center data bank report

BACKGROUND: Given that isolated tricuspid valve (TV) repair or replacement is performed relatively rarely, we sought to evaluate the rate of long-term mortality and readmission following this surgery. METHODS: The current study was conducted in Tehran Heart Center on patients who underwent isolated...

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Autores principales: Tafti, Seyed Hosssein Ahmadi, Alaeddini, Farshid, Shirzad, Mahmood, Bagheri, Jamshid, Omran, Abbas Salehi, Mahalleh, Mehrdad, Shoja, Shiva, Omidi, Negar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903743/
https://www.ncbi.nlm.nih.gov/pubmed/33622367
http://dx.doi.org/10.1186/s13019-021-01394-1
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author Tafti, Seyed Hosssein Ahmadi
Alaeddini, Farshid
Shirzad, Mahmood
Bagheri, Jamshid
Omran, Abbas Salehi
Mahalleh, Mehrdad
Shoja, Shiva
Omidi, Negar
author_facet Tafti, Seyed Hosssein Ahmadi
Alaeddini, Farshid
Shirzad, Mahmood
Bagheri, Jamshid
Omran, Abbas Salehi
Mahalleh, Mehrdad
Shoja, Shiva
Omidi, Negar
author_sort Tafti, Seyed Hosssein Ahmadi
collection PubMed
description BACKGROUND: Given that isolated tricuspid valve (TV) repair or replacement is performed relatively rarely, we sought to evaluate the rate of long-term mortality and readmission following this surgery. METHODS: The current study was conducted in Tehran Heart Center on patients who underwent isolated TV repair or replacement between 2010 and 2018. Totally, 197 patients (repair = 150 vs replacement = 47) were included in our study and were then followed right after surgery for a median of 8 years to assess the incidence of postoperative events, readmission, and all-cause mortality. RESULTS: The final analysis was conducted on 197 patients at a mean age of 44.4 ± 13.8 years. Most of the patients were female (56.9%). Ejection fraction, TAPSE, and right ventricular function improved in both groups after TV surgery. Length of stay in the intensive care unit per hour and hospitalization per day were higher in the replacement group and compared to the repair group (158.34 vs. 55.11 and 18.21 vs. 9.34, respectively). In-hospital mortality occurred in 20 patients, of whom 15 had TV replacement. Readmission occurred in five (2.5%) patients,all were in the repair group. CONCLUSIONS: The result of this single-center study showed that TV replacement is associated with a higher rate of postoperative events and all-cause mortality compared to TV repair. Whereas, repair group had a higher rate of readmission. Therefore, the overwhelming tendency is toward repair; nonetheless, no hesitation is permissible if a replacement is adjudged to confer a better outcome for the patient.
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spelling pubmed-79037432021-03-01 Isolated tricuspid valve surgery; long-term outcomes based on Tehran Heart Center data bank report Tafti, Seyed Hosssein Ahmadi Alaeddini, Farshid Shirzad, Mahmood Bagheri, Jamshid Omran, Abbas Salehi Mahalleh, Mehrdad Shoja, Shiva Omidi, Negar J Cardiothorac Surg Research Article BACKGROUND: Given that isolated tricuspid valve (TV) repair or replacement is performed relatively rarely, we sought to evaluate the rate of long-term mortality and readmission following this surgery. METHODS: The current study was conducted in Tehran Heart Center on patients who underwent isolated TV repair or replacement between 2010 and 2018. Totally, 197 patients (repair = 150 vs replacement = 47) were included in our study and were then followed right after surgery for a median of 8 years to assess the incidence of postoperative events, readmission, and all-cause mortality. RESULTS: The final analysis was conducted on 197 patients at a mean age of 44.4 ± 13.8 years. Most of the patients were female (56.9%). Ejection fraction, TAPSE, and right ventricular function improved in both groups after TV surgery. Length of stay in the intensive care unit per hour and hospitalization per day were higher in the replacement group and compared to the repair group (158.34 vs. 55.11 and 18.21 vs. 9.34, respectively). In-hospital mortality occurred in 20 patients, of whom 15 had TV replacement. Readmission occurred in five (2.5%) patients,all were in the repair group. CONCLUSIONS: The result of this single-center study showed that TV replacement is associated with a higher rate of postoperative events and all-cause mortality compared to TV repair. Whereas, repair group had a higher rate of readmission. Therefore, the overwhelming tendency is toward repair; nonetheless, no hesitation is permissible if a replacement is adjudged to confer a better outcome for the patient. BioMed Central 2021-02-23 /pmc/articles/PMC7903743/ /pubmed/33622367 http://dx.doi.org/10.1186/s13019-021-01394-1 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Tafti, Seyed Hosssein Ahmadi
Alaeddini, Farshid
Shirzad, Mahmood
Bagheri, Jamshid
Omran, Abbas Salehi
Mahalleh, Mehrdad
Shoja, Shiva
Omidi, Negar
Isolated tricuspid valve surgery; long-term outcomes based on Tehran Heart Center data bank report
title Isolated tricuspid valve surgery; long-term outcomes based on Tehran Heart Center data bank report
title_full Isolated tricuspid valve surgery; long-term outcomes based on Tehran Heart Center data bank report
title_fullStr Isolated tricuspid valve surgery; long-term outcomes based on Tehran Heart Center data bank report
title_full_unstemmed Isolated tricuspid valve surgery; long-term outcomes based on Tehran Heart Center data bank report
title_short Isolated tricuspid valve surgery; long-term outcomes based on Tehran Heart Center data bank report
title_sort isolated tricuspid valve surgery; long-term outcomes based on tehran heart center data bank report
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903743/
https://www.ncbi.nlm.nih.gov/pubmed/33622367
http://dx.doi.org/10.1186/s13019-021-01394-1
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