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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

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Long-term outcomes of tricuspid valve replacement in the current era

Farzan Filsoufi1, Ani C Anyanwu, Sacha P Salzberg

  • 1Mount Sinai Hospital, New York, New York, USA. farzan.filsoufi@mountsinai.org

The Annals of Thoracic Surgery
|August 27, 2005
PubMed

Insights

Tricuspid valve replacement (TVR) in high-risk patients has high operative mortality. Mechanical valves showed slightly better long-term survival than bioprosthetic valves, but heart failure remains a key cause of death.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Surgery
  • Prosthetic Valve Outcomes

Background:

  • Tricuspid valve replacement (TVR) is associated with significant mortality and morbidity.
  • High-risk patient populations often require TVR due to complex cardiac conditions.

Purpose of the Study:

  • To evaluate operative mortality, long-term survival, and valve-related events after tricuspid valve replacement.
  • To compare outcomes between bioprosthetic and mechanical valves in a high-risk cohort.

Main Methods:

  • Retrospective analysis of 81 patients undergoing TVR between 1985 and 1999.
  • Patients were categorized by prosthesis type (bioprosthetic vs. mechanical).
  • Risk factors, operative details, and survival data were analyzed.

Main Results:

  • Overall operative mortality was 22%.
  • Mechanical valves demonstrated slightly superior long-term survival compared to bioprosthetic valves.
  • Organic etiology was a predictor of late death.

Conclusions:

  • TVR is performed in high-risk patients with frequent reoperations and comorbidities.
  • High operative and overall mortality persist, with heart failure being the primary cause of death.
  • Timely referral is crucial to prevent end-stage cardiac impairment before TVR.
Abstract

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