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Tricuspid valve disease

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.

Outcomes of Isolated Tricuspid Valve Surgery Have Improved in the Modern Era

Hamandi and colleagues reviewed outcomes for 95 patients who underwent isolated tricuspid valve (TV) surgery between 2007 and 2017 at their institution. For 41% of patients, the procedure was reoperative, following either prior coronary artery bypass grafting or prior valve surgery. Valve repair was performed in over 70% of patients. Operative mortality was low, being 3.2% overall and with no mortality in the last 6 years studied (73 patients).

In Global News: Prevalence of Spin in RCT Reports, Setting the Standard for Teamwork, and the Continued Public Health Challenge of Asbestos

Patient Care and General Interest

Despite being the leading cause of death in the US, heart disease was the most-Googled disease in only one state: Maine.

A study that sought to understand the importance of successful teamwork for general surgery used cardiothoracic surgical teams as their comparison group because of the stability and experience that these teams typically have.

2019 AATS/ACC/ASE/SCAI/STS Expert Consensus Systems of Care Document: A Proposal to Optimize Care for Patients With Valvular Heart Disease

The American Association for Thoracic Surgery (AATS), American College of Cardiology (ACC), American Society of Echocardiography (ASE), Society for Cardiovascular Angiography and Interventions (SCAI), and Society of Thoracic Surgeons (STS) published a joint expert consensus and evidence-based recommendations for systems of care related to valvular heart disease with respect to patient outcomes, cost, and cost-effectiveness.

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