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Reoperations after tricuspid valve repair
José M Bernal1, Dieter Morales, Carmen Revuelta
1Department of Cardiovascular Surgery, Hospital Universitario Valdecilla, Santander, Spain. ccabmj@humv.es
The Journal of Thoracic and Cardiovascular Surgery
|August 4, 2005
Summary
Reoperations for tricuspid valve repair failure carry a high risk. Patients face poor outcomes and significant in-hospital and long-term mortality after these cardiac reoperations.
Area of Science:
- Cardiovascular Surgery
- Cardiac Reoperations
- Tricuspid Valve Disease
Background:
- Previous tricuspid valve repair can fail, necessitating reoperation.
- Tricuspid valve dysfunction after initial repair presents significant management challenges.
Purpose of the Study:
- To analyze short- and long-term outcomes of patients undergoing cardiac reoperations for tricuspid valve dysfunction.
- Evaluate mortality and survival rates following reoperation for failed tricuspid valve repair.
Main Methods:
- Retrospective analysis of 74 patients undergoing tricuspid valve reoperations between 1976 and 2002.
- Procedures included tricuspid valve replacement (58.1%) or new repair (41.9%).
- Follow-up was 100% complete, with a mean of 14.2 years.
Main Results:
- Hospital mortality was 35.1%, with risk factors including low/high BMI and triple valve disease.
- Late mortality reached 40.5%, predicted by low BMI and early dysfunction.
- Actuarial survival at 26 years was low (11.8%).
Conclusions:
- Tricuspid valve repair failure requiring reoperation is associated with a poor prognosis.
- High in-hospital and long-term mortality rates underscore the severity of these cases.