Tricuspid valve repair in isolated tricuspid pathology: a 12-year single center experience
Abstract Objectives Long-term data on isolated surgical tricuspid valve procedures is limited. Current guidelines on heart valve disease recommend valve repair over valve replacement. In this study we report our 12-year single-center experience with isolated surgical tricuspid valve repair in patien...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13019-020-01369-8 |
| _version_ | 1818530343791099904 |
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| author | Alina Zubarevich Marcin Szczechowicz Andreas Brcic Anja Osswald Konstantinos Tsagakis Daniel Wendt Bastian Schmack Michel Pompeu B. O. Sá Jef Van den Eynde Arjang Ruhparwar Konstantin Zhigalov |
| author_facet | Alina Zubarevich Marcin Szczechowicz Andreas Brcic Anja Osswald Konstantinos Tsagakis Daniel Wendt Bastian Schmack Michel Pompeu B. O. Sá Jef Van den Eynde Arjang Ruhparwar Konstantin Zhigalov |
| author_sort | Alina Zubarevich |
| collection | DOAJ |
| description | Abstract Objectives Long-term data on isolated surgical tricuspid valve procedures is limited. Current guidelines on heart valve disease recommend valve repair over valve replacement. In this study we report our 12-year single-center experience with isolated surgical tricuspid valve repair in patients with various tricuspid valve pathologies. Methods Between May 2007 and December 2019, 26 consecutive patients underwent isolated tricuspid valve annuloplasty/repair for various indications. In 18 patients (69.2%) an open ring or band annuloplasty (26.9 and 42.3%, respectively) was performed, 5 patients (19.2%) underwent a tightening of the annulus using the DeVega technique, 5 patients (19.2%) had a leaflet reconstruction with patch or bicuspidalization and in 3 patients (11.5%) a leaflet debridement was performed. In 15.4% of the cohort a combination of the techniques was utilized. Results The mean follow-up time was 2.1 (0.3–5.0) years. Early survival at 30 days after surgery was 84.6%. Mean hospital stay was 11 (6.7–16) days. One-year survival was 73%. No patient required a redo procedure on the tricuspid valve during follow-up. Conclusion Tricuspid valve repair is suggested as a treatment of choice according to recent guidelines on heart valve disease. If chosen correctly, various repair techniques provide good long-term results. Tricuspid valve repair may be safely applied in patients undergoing surgical isolated tricuspid valve procedures. |
| first_indexed | 2024-12-11T17:18:30Z |
| format | Article |
| id | doaj.art-ba6dd88b437d43d4908c1cd524a29278 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-11T17:18:30Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-ba6dd88b437d43d4908c1cd524a292782022-12-22T00:57:14ZengBMCJournal of Cardiothoracic Surgery1749-80902020-11-011511710.1186/s13019-020-01369-8Tricuspid valve repair in isolated tricuspid pathology: a 12-year single center experienceAlina Zubarevich0Marcin Szczechowicz1Andreas Brcic2Anja Osswald3Konstantinos Tsagakis4Daniel Wendt5Bastian Schmack6Michel Pompeu B. O. Sá7Jef Van den Eynde8Arjang Ruhparwar9Konstantin Zhigalov10Department of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-EssenDepartment of Cardiovascular Surgery Essen-Huttrop, University Hospital EssenDepartment of Anesthesiology, University Hospital EssenDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-EssenDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-EssenDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-EssenDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-EssenDepartment of Cardiovascular Surgery at the Pronto Socorro Cardiológico de Pernambuco (PROCAPE)Department of Cardiovascular Diseases, University Hospitals LeuvenDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-EssenDepartment of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center, University of Duisburg-EssenAbstract Objectives Long-term data on isolated surgical tricuspid valve procedures is limited. Current guidelines on heart valve disease recommend valve repair over valve replacement. In this study we report our 12-year single-center experience with isolated surgical tricuspid valve repair in patients with various tricuspid valve pathologies. Methods Between May 2007 and December 2019, 26 consecutive patients underwent isolated tricuspid valve annuloplasty/repair for various indications. In 18 patients (69.2%) an open ring or band annuloplasty (26.9 and 42.3%, respectively) was performed, 5 patients (19.2%) underwent a tightening of the annulus using the DeVega technique, 5 patients (19.2%) had a leaflet reconstruction with patch or bicuspidalization and in 3 patients (11.5%) a leaflet debridement was performed. In 15.4% of the cohort a combination of the techniques was utilized. Results The mean follow-up time was 2.1 (0.3–5.0) years. Early survival at 30 days after surgery was 84.6%. Mean hospital stay was 11 (6.7–16) days. One-year survival was 73%. No patient required a redo procedure on the tricuspid valve during follow-up. Conclusion Tricuspid valve repair is suggested as a treatment of choice according to recent guidelines on heart valve disease. If chosen correctly, various repair techniques provide good long-term results. Tricuspid valve repair may be safely applied in patients undergoing surgical isolated tricuspid valve procedures.http://link.springer.com/article/10.1186/s13019-020-01369-8Tricuspid valveTricuspid valve regurgitationIsolated tricuspid valve pathology |
| spellingShingle | Alina Zubarevich Marcin Szczechowicz Andreas Brcic Anja Osswald Konstantinos Tsagakis Daniel Wendt Bastian Schmack Michel Pompeu B. O. Sá Jef Van den Eynde Arjang Ruhparwar Konstantin Zhigalov Tricuspid valve repair in isolated tricuspid pathology: a 12-year single center experience Journal of Cardiothoracic Surgery Tricuspid valve Tricuspid valve regurgitation Isolated tricuspid valve pathology |
| title | Tricuspid valve repair in isolated tricuspid pathology: a 12-year single center experience |
| title_full | Tricuspid valve repair in isolated tricuspid pathology: a 12-year single center experience |
| title_fullStr | Tricuspid valve repair in isolated tricuspid pathology: a 12-year single center experience |
| title_full_unstemmed | Tricuspid valve repair in isolated tricuspid pathology: a 12-year single center experience |
| title_short | Tricuspid valve repair in isolated tricuspid pathology: a 12-year single center experience |
| title_sort | tricuspid valve repair in isolated tricuspid pathology a 12 year single center experience |
| topic | Tricuspid valve Tricuspid valve regurgitation Isolated tricuspid valve pathology |
| url | http://link.springer.com/article/10.1186/s13019-020-01369-8 |
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