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Beating Tricuspid Surgery is a Viable Option with Similar Outcomes to Traditional Surgery: a Propensity Score
Shoag Alahmari1, Abdullah Alshehri1,2, Juan Alfonso3
1Prince Sultan Cardiac Center Adult Cardiac Surgery Department Riyadh Saudi Arabia Adult Cardiac Surgery Department, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia.
Beating heart tricuspid surgery without aortic cross-clamping is a safe and effective alternative to traditional arrested heart surgery. Outcomes were comparable in both short- and long-term follow-up, offering a viable option for patients undergoing concomitant procedures.
Area of Science:
- Cardiovascular Surgery
- Cardiac Valve Repair and Replacement
- Minimally Invasive Cardiac Surgery
Background:
- Tricuspid valve surgery advantages without aortic cross-clamping are understudied, especially with concomitant procedures.
- This study compares outcomes of beating heart vs. arrested heart tricuspid surgery.
Purpose of the Study:
- To compare short- and long-term outcomes of tricuspid valve surgery performed with and without aortic cross-clamping.
- To evaluate the viability of beating heart tricuspid surgery in concomitant procedures.
Main Methods:
- Retrospective cohort study of 1,154 patients (2009-2021) undergoing tricuspid valve surgery.
- Comparison between beating heart (n=170) and arrested heart (n=984) groups.
- Propensity score matching created 139 matched pairs for analysis.
Main Results:
- Unmatched beating heart group showed higher creatinine clearance and shorter ICU stays.
- Post-propensity score matching, no significant differences in heart block, creatinine, or tricuspid regurgitation.
- Long-term outcomes (10-year freedom from reintervention, survival, heart failure rehospitalization) were comparable between matched groups.
Conclusions:
- Tricuspid surgery without aortic cross-clamping is a viable alternative to arrested heart surgery.
- No significant short- or long-term outcome differences were observed.
- This technique offers a comparable option for patients, particularly those undergoing concomitant procedures.
