Triple valve surgery: long-term follow-up from a single centre

Area of Science:

• Cardiology
• Cardiac Surgery
• Interventional Cardiology

Background:

• Transcatheter valve surgery (TVS) is an increasingly utilized procedure for valvular heart disease.
• Assessing early and late outcomes and identifying prognostic factors is crucial for patient management.

Purpose of the Study:

• To analyze the early and late outcomes of Transcatheter Valve Surgery (TVS).
• To identify predictors of short-term and long-term poor prognosis following TVS.

Main Methods:

• Retrospective single-center study involving 130 patients who underwent TVS between 2007 and 2020.
• Univariable and multivariable analyses were performed to identify predictors of mortality and morbidity.
• Patient demographics included mean age of 64.4 years, with 72.3% females and 61.1% in NYHA class III/IV.

Main Results:

• In-hospital mortality was 10.8%, with 7.6% cardiac-related deaths.
• Diabetes Mellitus independently predicted increased perioperative and long-term mortality.
• Major perioperative complications occurred in 27.7% of patients; elevated systolic pulmonary pressure and obesity predicted early morbidity.
• 14-year all-cause mortality was 43.1%, with survival rates of 83% (1 year), 60% (5 years), and 43% (10 years).

Conclusions:

• Transcatheter valve surgery is associated with high surgical risk, mortality, and morbidity.
• Diabetes Mellitus, pulmonary hypertension, and obesity are identified as significant risk factors for mortality in TVS patients.