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Examining the forgotten valve: outcomes of tricuspid valve surgery, a 15-year experience

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Irish Journal of Medical Science (1971 -) Aims and scope Submit manuscript

Abstract

Background

We have entered an era of renewed interest in novel approaches to surgical intervention and minimally invasive and transcatheter technique. With an aging population, isolated tricuspid valve regurgitation incidence is rising; however, referral for surgical intervention remains low.

Aims

We undertook this retrospective review to assess outcomes and challenges associated with tricuspid valve intervention.

Methods

A comprehensive retrospective review of all patients undergoing tricuspid valve intervention in our institution between 2004 and 2018 was carried out.

Results

A total of 259 patients who underwent a tricuspid intervention between 2004 and 2018 were identified. Of those, 229 underwent a repair and 30 underwent a replacement. Median survival for repair was 3124 days, and replacement was 2294 days. In-patient mortality was 12% for those undergoing repair and 7% for the replacement patients. Of those undergoing redo tricuspid valve intervention, eight patients (61.5%) were alive at most recent follow-up. Eight patients required intraoperative pacemakers, 2 required postoperative pacemakers. Of those who had intraoperative epicardial pacing systems placed, 5 of the 8 remained pacing dependent on most recent follow up.

Conclusion

Beyond technical challenges, decision making regarding pacemaker requirement requires further exploration. Redo tricuspid valve surgery carries a significant mortality risk and consideration should be given to earlier intervention in this context.

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Data availability

All source data is available and held in anonymized form by the authors.

Code availability

The software GraphPad Prism 9 for Mac OS version 9.9.0

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Acknowledgements

The authors would like to sincerely thank Ms Anne Gregg for her assistance with data collection.

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Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Royal Victoria Hospital, Grosvenor Rd, 274 Grosvenor Road, Belfast, BT12 6BA, UK

    Katie E. O’Sullivan, Susan Cull, Lara Armstrong, Aine McKendry & Alastair N. J. Graham

Authors
  1. Katie E. O’Sullivan
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  2. Susan Cull
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  3. Lara Armstrong
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  4. Aine McKendry
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  5. Alastair N. J. Graham
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Corresponding author

Correspondence to Katie E. O’Sullivan.

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Ethics approval

Ethics approval was not required for this retrospective study.

Consent to participate

Patient data is anonymized.

Consent for publication

All the authors provided their consent for publication of the manuscript.

Conflict of interest

The authors declare no competing interests.

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O’Sullivan, K.E., Cull, S., Armstrong, L. et al. Examining the forgotten valve: outcomes of tricuspid valve surgery, a 15-year experience. Ir J Med Sci 191, 699–704 (2022). https://doi.org/10.1007/s11845-021-02608-0

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  • DOI: https://doi.org/10.1007/s11845-021-02608-0

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