Examining the forgotten valve: outcomes of tricuspid valve surgery, a 15-year experience
| Autor: | Susan Cull, Alastair N J Graham, Katie O’Sullivan, Aine McKendry, Lara Armstrong |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pacemaker Artificial Referral Epicardial pacing Context (language use) 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Humans 030212 general & internal medicine Cardiac Surgical Procedures Aged Retrospective Studies Heart Valve Prosthesis Implantation Tricuspid valve business.industry Incidence (epidemiology) General Medicine Tricuspid Valve Insufficiency Surgery medicine.anatomical_structure Treatment Outcome Tricuspid Valve Tricuspid Valve Regurgitation business Median survival |
| Zdroj: | Irish journal of medical science. 191(2) |
| ISSN: | 1863-4362 |
| Popis: | 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. We undertook this retrospective review to assess outcomes and challenges associated with tricuspid valve intervention. A comprehensive retrospective review of all patients undergoing tricuspid valve intervention in our institution between 2004 and 2018 was carried out. 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. 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. |
| Databáze: | OpenAIRE |
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