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Tricuspid Valve Disease: Surgical Outcome

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Practical Manual of Tricuspid Valve Diseases

Abstract

Outcomes after tricuspid valve surgery were initially extremely poor but have improved over time thanks to innovations in diagnostics, guidelines for treatment, emerging surgical experience and technical advances. This chapter provides a contemporary overview of patient and procedural characteristics of tricuspid valve repair and replacement and early and late outcomes in different settings, such as functional tricuspid regurgitation, rheumatic, congenital, carcinoid tricuspid valve disease, iatrogenic tricuspid valve damage, and finally endocarditis of the tricuspid valve. For this purpose a systematic literature review and meta-analysis was conducted including 132 studies published after 2005 and reporting on outcome after tricuspid valve surgery. This thorough review of reported experience with tricuspid valve repair and replacement reveals a strong variation in patient presentation and outcome among the various indications and highlights that tricuspid valve replacement is still associated with high early and late mortality. Innovations in the treatment of tricuspid valve disease are direly needed to improve outcome in this complicated patient population.

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Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands

    Kevin M. Veen M.D., Jonathan R. G. Etnel M.D. & Johanna J. M. Takkenberg M.D., Ph.D.

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  1. Kevin M. Veen M.D.
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  2. Jonathan R. G. Etnel M.D.
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Correspondence to Johanna J. M. Takkenberg M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. The Thoraxcenter, Erasmus MC: University Medical Center Rotterdam, Rotterdam, The Netherlands

    Osama I. Soliman  & Folkert J. ten Cate  & 

Review Questions

Review Questions

  1. 74.

    What is early mortality for tricuspid valve replacement

    1. (a)

      Comparable to aortic valve replacement

    2. (b)

      Comparable to mitral valve replacement

    3. (c)

      Less than 5%

    4. (d)

      More than 10%

  2. 75.

    In tricuspid valve replacement, what are the advantages and drawbacks of a bioprosthesis compared with a mechanical valve?

  1. (a)

    Less thrombosis, less bleeding and more reinterventions

  2. (b)

    More thrombosis, less bleeding, more reinterventions

  3. (c)

    Less thrombosis, less bleeding, comparable reintervention rates

  1. 76.

    What is the most widely employed technique for the surgical treatment of carcinoid tricuspid valve disease (in current literature)?

  1. (a)

    Tricuspid valvotomy

  2. (b)

    Tricuspid valvoplasty

  3. (c)

    Tricuspid replacement

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Veen, K.M., Etnel, J.R.G., Takkenberg, J.J.M. (2018). Tricuspid Valve Disease: Surgical Outcome. In: Soliman, O.I., ten Cate, F.J. (eds) Practical Manual of Tricuspid Valve Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-58229-0_16

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