Beating vs Arrested Heart Isolated Tricuspid Valve Surgery: Long-term Outcomes
| Autor: | Sandro Sponga, Ugolino Livi, Michele Di Mauro, Antonio Lio, Maurizio Taramasso, Francesco Maisano, Alfred Kocher, Marco Solinas, Paolo Berretta, Martin Andreas, Paul Werner, Ernesto Greco, Ester Della Ratta, Guglielmo Saitto, Carlo Antona, Dror B. Leviner, Fabio Miraldi, Roberto Scrofani, Andrea Biondi, Giacomo Bianchi, Francesco Musumeci, Marco Di Eusanio, Matteo Saccocci, Marco Russo, Alessandro Della Corte, Erez Sharoni, Guenther Laufer, Carlo De Vincentiis, Giovanni Troise, Antonio M. Calafiore |
|---|---|
| Přispěvatelé: | Russo, Marco, Di Mauro, Michele, Saitto, Guglielmo, Lio, Antonio, Berretta, Paolo, Taramasso, Maurizio, Scrofani, Roberto, Della Corte, Alessandro, Sponga, Sandro, Greco, Ernesto, Saccocci, Matteo, Calafiore, Antonio, Bianchi, Giacomo, Leviner, Dror B, Biondi, Andrea, Della Ratta, Ester, Livi, Ugolino, Sharoni, Erez, Werner, Paul, De Vincentiis, Carlo, Di Eusanio, Marco, Kocher, Alfred, Antona, Carlo, Miraldi, Fabio, Troise, Giovanni, Solinas, Marco, Maisano, Francesco, Laufer, Guenther, Musumeci, Francesco, Andreas, Martin, RS: Carim - V04 Surgical intervention, CTC, Russo, M, Di Mauro, M, Saitto, G, Lio, A, Berretta, P, Taramasso, M, Scrofani, R, Della Corte, A, Sponga, S, Greco, E, Saccocci, M, Calafiore, A, Bianchi, G, Leviner, D, Biondi, A, Della Ratta, E, Livi, U, Sharoni, E, Werner, P, De Vincentiis, C, Di Eusanio, M, Kocher, A, Antona, C, Miraldi, F, Troise, G, Solinas, M, Maisano, F, Laufer, G, Musumeci, F, Andreas, M |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Male
Reoperation Pulmonary and Respiratory Medicine Isolated tricuspid valve disease medicine.medical_specialty Time Factors Tricuspid Valve Surgery REGURGITATION survival beating heart surgery Postoperative Complications Risk Factors Tricuspid valve medicine Humans Propensity Score Survival rate Stroke Retrospective Studies FORGOTTEN Heart Valve Prosthesis Implantation REPAIR Ejection fraction business.industry Incidence Mortality rate EuroSCORE Retrospective cohort study Perioperative Middle Aged medicine.disease Tricuspid Valve Insufficiency Surgery Europe Survival Rate medicine.anatomical_structure Heart Arrest Induced Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Annals of Thoracic Surgery, 113(2), 585-592. Elsevier Science |
| ISSN: | 0003-4975 |
| Popis: | BACKGROUND Isolated tricuspid valve (TV) surgery is a rare procedure generally considered at high risk for perioperative mortality and poor long-term outcomes. Surgical treatment can be performed with either an arrested heart (AH) or beating heart (BH) technique. The aim of this study was to compare the outcomes of isolated tricuspid surgery with 2 different approaches.METHODS The Surgical-Tricuspid Study is a multicenter international retrospective study enrolling adult patients who un- derwent isolated TV procedures (n = 406; age 56 +/- 16 years; 56% female) at 13 international sites. The AH and BH strategies were performed in 253 and 153 patients, respectively. Propensity score-matched analysis was used to compare groups.RESULTS After matching, 129 pairs were obtained and analyzed. The 30-day mortality rate was 6.2% versus 5.0% in the AH and BH groups, respectively (P = .9). The rates of acute renal failure requiring replacement therapy (10% versus 3%; P = .02) and stroke (1.6% versus 0%; P = .08) were numerically higher in the AH group. The 6-year survival rate was 67% +/- 6% versus 78% +/- 5% in the AH and BH groups, respectively (P = .18), whereas freedom from cardiac death was 75% +/- 5% versus 84% +/- 4% (P = .21). The 6-year composite cardiac end point of cardiac death and reoperation rate was 60% +/- 9% versus 86% +/- 5% (P - .024) comparing AH-TV replacement and BH-TV repair groups.CONCLUSIONS Isolated TV surgery performed with a BH strategy is a safe option and resulted in a trend of increased long-term survival and freedom from reoperation compared with the standard AH technique. Patients undergoing BH valve repair had the best long-term outcome. (C) 2022 by The Society of Thoracic Surgeons |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|