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Surgical Decision-Making for Concomitant Tricuspid Valve Repair in Minimally Invasive Mitral Valve Surgery

Thursday, September 4, 2025

Submitted by

Mujtaba Mubashir

Source

Source Name: European Journal of Cardio-Thoracic Surgery

Source URL: https://academic.oup.com/ejcts/article/67/7/ezaf201/8205674?searchresult=1

Author(s)

Can Gollmann-Tepeköylü, Paolo Berretta, Marc Gerdisch, Giovanni D Cresce, Jörg Kempfert, Antonios Pitsis, Frank Van Praet, Mauro Rinaldi, Manuel Wilbring, Tristan Yan, Davide Pacini, Torsten Doenst, Antonio Fiore, Nguyen Hoang Dinh, Joseph Lamelas, Pierluigi Stefano, Tom C. Nguyen, Nikolaos Bonaros, Marco Di Eusanio

As minimally invasive mitral valve surgery (MIMVS) continues to gain acceptance, concomitant tricuspid valve (TV) repair in patients with significant tricuspid regurgitation (TR) is increasingly encountered. The authors explored the current practice patterns regarding TV repair during MIMVS and found that, generally, the indications for TV repair were followed, although there were institutional variations. Key reasons for omitting TV repair included absence of severe tricuspid regurgitation (odds ratio 3.31 for moderate TR, OR 4.06 for mild TR), a lower NYHA class (OR 0.61 for NYHA III-IV), and mitral valve disease type (OR 0.38). TV repair was associated with longer ICU (48 vs 23 hours, P < 0.001) and hospital stays (11 vs 8 days, P < 0.001), but 30-day mortality was similar between groups (4.3 percent for tricuspid valve repair vs 1.8 percent for no tricuspid valve repair, P = 0.2).