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

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.