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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Triple-valve surgery: clinical results of a three-decade experience

Guillaume Marquis Gravel1, Denis Bouchard, Louis P Perrault

  • 1Department of Surgery, Montreal Heart Institute and University of Montreal, Montreal, Canada. Guillaume.Marquis.Gravel@umontreal.ca

The Journal of Heart Valve Disease
|March 17, 2011
PubMed

Insights

Triple-valve surgery has high operative risk but improved outcomes over time. Survivors show better cardiac function, suggesting earlier procedures may be beneficial.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Disease
  • Surgical Outcomes

Background:

  • Triple-valve disease presents surgical challenges with unclear clinical benefits versus high operative risk.
  • Understanding early/late mortality and risk factors in triple-valve surgery is crucial.

Purpose of the Study:

  • To describe early and late mortality associated with triple-valve surgery.
  • To identify risk factors for adverse outcomes.
  • To assess long-term patient survival and functional capacity.

Main Methods:

  • Retrospective analysis of 178 consecutive triple-valve surgeries (1977-2008).
  • Median follow-up of 5.0 years.
  • Analysis of operative mortality, risk factors, survival rates, and reoperation rates.

Main Results:

  • Operative mortality decreased significantly from 25% (1977-1998) to 12% (1999-2008).
  • Independent risk factors for mortality (1999-2008) included tricuspid regurgitation severity and pacemaker lead presence.
  • Five- and 10-year survival rates were 61% and 38%, respectively; improved NYHA class post-reoperation.

Conclusions:

  • Triple-valve surgery mortality has improved, but remains substantial.
  • Survivors experience significant functional capacity improvement, supporting its continued use.
  • Earlier intervention in triple-valve disease is recommended.
Abstract

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