Few studies on the results of solitary tricuspid valve (TV) surgery as a reoperation have been published in the literature. As a result, researchers looked at the early and midterm outcomes of TV surgery in this special group of patients. Between 1997 and 2010, they conducted a retrospective review of 82 consecutive patients who underwent isolated TV surgery as a reoperation at the hospital. The most common reasons for surgery were symptomatic TV regurgitation (84.2%), acute endocarditis (14.6%), and valve thrombosis following TV repair (1.2%). In 60% of the patients, a minimally invasive approach was favored by researchers via a right anterolateral thoracotomy. In the past, 60%, 29%, and 27% of people had mitral, aortic, and TV surgery, respectively, and 18% had coronary bypass surgery, which researchers frequently did in combination. In 67.1% of the patients, elective surgery was conducted. The average patient age was (64.1±11.9) years, with 28% of patients being male and a logistic EuroSCORE of (16.4% ±14.3%). The average duration of follow-up was (2.6±2.4) years, which was 96% complete.
Thirty-day mortality was 14.6% overall, with 12.9% and 25% respectively for patients without and with endocarditis. Patients undergoing elective surgery had a 30-day death rate of 4.0%. The overall 2-year survival rate was 63.0% (5.5%). 93.5% of people were free of TV-related reoperation after two years. When conducted electively, the postoperative results of isolated TV surgery as a reoperation are acceptable, but they are poor in individuals who undergo nonelective surgery. As a result, if redo TV surgery is required, it should be done as quickly as possible. For individuals undergoing elective surgery, minimally invasive surgery using a right lateral mini-thoracotomy is a safe option.
Reference:www.jtcvs.org/article/S0022-5223(12)00943-9/fulltext
