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Isolated Tricuspid Operations: The Society of Thoracic Surgeons Adult Cardiac Surgery Database Analysis

Thursday, May 11, 2023

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Source Name: The Annals of Thoracic Surgery


Qiudong Chen, Michael E. Bowdish, Jad Malas, Amy Roach, George Gill, Georgina Rowe, Jason Thomas, Dominic Emerson, Alfredo Trento, Natalia Egorova, Joanna Chikwe

Between 2011 and 2020, 14,704 isolated tricuspid operations were reported in The Society of Thoracic Surgeons Adult Cardiac Surgery Database, and 6,507 cases were identified after excluding emergencies, endocarditis, stenosis, and prior heart transplants. Operative mortality was 7.3 percent, and 1.7 percent in elective patients without heart failure, organ dysfunction, or prior surgery. Heart failure (odds ratio [OR] 1.6), higher Model For End-Stage Liver Disease score, tricuspid replacement (OR 1.56), and annual center volume < 5 cases per year (OR 1.37) were associated with worse operative mortality, suggesting early referral to higher volume centers may improve outcomes.

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