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Appraisal of Long-Term Outcomes of Tricuspid Valve Replacement in the Current Perspective

Monday, March 21, 2016

Submitted by

Arie Blitz

Source

Source Name: Annals of Thoracic Surgery

Source URL: http://www.annalsthoracicsurgery.org/article/S0003-4975(15)01956-6/abstract

Author(s)

Amedeo Anselmi,MD, PhD, Vito Giovanni Ruggieri,MD, PhD,Majid Harmouche,MD, PhD, Erwan Flecher, MD, PhD, Herv e Corbineau, MD, Thierry Langanay, MD, Bernard Lelong, MD, Jean-Philippe Verhoye, MD, PhD, and Alain Leguerrier, MD

This French group retrospectively compared their experience with tricuspid valve replacements (n=188) using either tissue (82%) or mechanical (18%) valves during a >30-year period. Findings from the study included:

Almost half the cases were reoperative surgeries, and concomitant procedures were performed in 71%.
Overall operative mortality was 28%, but decreased down to 10% in the most recent decade.
Freedom from structural valve deterioration trended higher for mechanical valves but did not reach statistical significance.
Freedom from thromboembolic events and any valve-related adverse events were significantly higher for tissue valves.
Eleven patients required repeat tricuspid valve replacements for structural valve disease at a mean interval of 16 years (range 4 to 33 years). None of these valves were mechanical at the original implantation.