Tricuspid valve replacement provides better long-term survival and tricuspid valve function than repair in patients with systemic right ventricleCentral MessagePerspective
Objective: The purpose of this study is to compare the long-term outcomes of 2 different tricuspid surgeries including valvuloplasty and replacement for significant tricuspid regurgitation in patients with systemic right ventricle. Method: This is a retrospective study of 34 patients with dextro-tra...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | JTCVS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666273623001742 |
| _version_ | 1797674131802554368 |
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| author | Akihisa Furuta, MD, PhD Takeshi Shinkawa, MD, PhD Satoshi Okugi, MD Hisashi Yoshida, MD Hiroshi Niinami, MD, PhD |
| author_facet | Akihisa Furuta, MD, PhD Takeshi Shinkawa, MD, PhD Satoshi Okugi, MD Hisashi Yoshida, MD Hiroshi Niinami, MD, PhD |
| author_sort | Akihisa Furuta, MD, PhD |
| collection | DOAJ |
| description | Objective: The purpose of this study is to compare the long-term outcomes of 2 different tricuspid surgeries including valvuloplasty and replacement for significant tricuspid regurgitation in patients with systemic right ventricle. Method: This is a retrospective study of 34 patients with dextro-transposition of the great arteries or levo-transposition of the great arteries with biventricular circulation and systemic right ventricle undergoing tricuspid valve surgery between April 1979 and April 2022. Patients were divided into 2 groups based on the procedure: tricuspid valvuloplasty (n = 11) and tricuspid valve replacement (n = 23). These groups were compared in terms of survival, tricuspid valve dysfunction, and tricuspid valve–related reoperation. Results: There was no significant difference between the groups in operative age, body weight, the proportion of dextro-transposition of the great arteries, Ebstein-like tricuspid dysplasia, and preoperative right ventricular volume/function. During the median follow-up of 9.7 years, there was 1 early death (tricuspid valvuloplasty group) and 4 late deaths (3 in tricuspid valvuloplasty group and 1 in tricuspid valve replacement group). There were 7 tricuspid valve dysfunctions, including 6 significant tricuspid regurgitations in the tricuspid valvuloplasty group and 1 prosthetic valve dysfunction in the tricuspid valve replacement group, and 4 tricuspid valve-related reoperations (3 in the tricuspid valvuloplasty group and 1 in the tricuspid valve replacement group) were performed. There were significant differences between the groups in survival (tricuspid valvuloplasty vs tricuspid valve replacement: 72.7 vs 94.7% at 10 years after surgery, P = .0328) and cumulative incidence of tricuspid valve dysfunction at 10 years after tricuspid surgery (tricuspid valvuloplasty vs tricuspid valve replacement: 27.3% vs 0%, P = .0121). Conclusions: Tricuspid valve replacement provided better long-term survival and tricuspid function in patients with systemic right ventricle compared with tricuspid valvuloplasty. |
| first_indexed | 2024-03-11T21:54:42Z |
| format | Article |
| id | doaj.art-5ef5730fe9724f89bc42ef55dddb43ae |
| institution | Directory Open Access Journal |
| issn | 2666-2736 |
| language | English |
| last_indexed | 2024-03-11T21:54:42Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Open |
| spelling | doaj.art-5ef5730fe9724f89bc42ef55dddb43ae2023-09-26T04:12:33ZengElsevierJTCVS Open2666-27362023-09-0115382393Tricuspid valve replacement provides better long-term survival and tricuspid valve function than repair in patients with systemic right ventricleCentral MessagePerspectiveAkihisa Furuta, MD, PhD0Takeshi Shinkawa, MD, PhD1Satoshi Okugi, MD2Hisashi Yoshida, MD3Hiroshi Niinami, MD, PhD4Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, JapanAddress for reprints: Takeshi Shinkawa, MD, PhD, Department of Cardiovascular Surgery, Tokyo Women's Medical University, The Heart Institute of Japan, 8-1, Kawadacho, Shinjuku-ku, Tokyo 162-8666, Japan.; Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, JapanDepartment of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, JapanDepartment of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, JapanDepartment of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, JapanObjective: The purpose of this study is to compare the long-term outcomes of 2 different tricuspid surgeries including valvuloplasty and replacement for significant tricuspid regurgitation in patients with systemic right ventricle. Method: This is a retrospective study of 34 patients with dextro-transposition of the great arteries or levo-transposition of the great arteries with biventricular circulation and systemic right ventricle undergoing tricuspid valve surgery between April 1979 and April 2022. Patients were divided into 2 groups based on the procedure: tricuspid valvuloplasty (n = 11) and tricuspid valve replacement (n = 23). These groups were compared in terms of survival, tricuspid valve dysfunction, and tricuspid valve–related reoperation. Results: There was no significant difference between the groups in operative age, body weight, the proportion of dextro-transposition of the great arteries, Ebstein-like tricuspid dysplasia, and preoperative right ventricular volume/function. During the median follow-up of 9.7 years, there was 1 early death (tricuspid valvuloplasty group) and 4 late deaths (3 in tricuspid valvuloplasty group and 1 in tricuspid valve replacement group). There were 7 tricuspid valve dysfunctions, including 6 significant tricuspid regurgitations in the tricuspid valvuloplasty group and 1 prosthetic valve dysfunction in the tricuspid valve replacement group, and 4 tricuspid valve-related reoperations (3 in the tricuspid valvuloplasty group and 1 in the tricuspid valve replacement group) were performed. There were significant differences between the groups in survival (tricuspid valvuloplasty vs tricuspid valve replacement: 72.7 vs 94.7% at 10 years after surgery, P = .0328) and cumulative incidence of tricuspid valve dysfunction at 10 years after tricuspid surgery (tricuspid valvuloplasty vs tricuspid valve replacement: 27.3% vs 0%, P = .0121). Conclusions: Tricuspid valve replacement provided better long-term survival and tricuspid function in patients with systemic right ventricle compared with tricuspid valvuloplasty.http://www.sciencedirect.com/science/article/pii/S2666273623001742systemic right ventricletricuspid valve regurgitationtricuspid valve surgerytransposition of the great arteries |
| spellingShingle | Akihisa Furuta, MD, PhD Takeshi Shinkawa, MD, PhD Satoshi Okugi, MD Hisashi Yoshida, MD Hiroshi Niinami, MD, PhD Tricuspid valve replacement provides better long-term survival and tricuspid valve function than repair in patients with systemic right ventricleCentral MessagePerspective JTCVS Open systemic right ventricle tricuspid valve regurgitation tricuspid valve surgery transposition of the great arteries |
| title | Tricuspid valve replacement provides better long-term survival and tricuspid valve function than repair in patients with systemic right ventricleCentral MessagePerspective |
| title_full | Tricuspid valve replacement provides better long-term survival and tricuspid valve function than repair in patients with systemic right ventricleCentral MessagePerspective |
| title_fullStr | Tricuspid valve replacement provides better long-term survival and tricuspid valve function than repair in patients with systemic right ventricleCentral MessagePerspective |
| title_full_unstemmed | Tricuspid valve replacement provides better long-term survival and tricuspid valve function than repair in patients with systemic right ventricleCentral MessagePerspective |
| title_short | Tricuspid valve replacement provides better long-term survival and tricuspid valve function than repair in patients with systemic right ventricleCentral MessagePerspective |
| title_sort | tricuspid valve replacement provides better long term survival and tricuspid valve function than repair in patients with systemic right ventriclecentral messageperspective |
| topic | systemic right ventricle tricuspid valve regurgitation tricuspid valve surgery transposition of the great arteries |
| url | http://www.sciencedirect.com/science/article/pii/S2666273623001742 |
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