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Surgery Does Not Improve Survival in Patients With Isolated Severe Tricuspid Regurgitation

Friday, August 9, 2019

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Source Name: JACC


Andrea L. Axtell, Vijeta Bhambhani, Philicia Moonsamy, Emma W. Healy, Michael H. Picard, Thoralf M. Sundt III, Jason H. Wasfy

Retrospectively using a longitudinal echocardiography database, the authors analyzed the data of 3,276 patients with isolated severe tricuspids regurgitation (TR) from 2001 through 2016. Of these patients, 5% underwent tricuspid valve surgery. Within the group undergoing surgery, 84% of patients underwent a repair versus 16% who underwent a replacement. The authors found, in a propensity-matched sample, that there was no difference in long-term survival between patients treated medically versus surgically. In addition, there was no difference in survival between those undergoing repair versus replacement.

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