Survival of Tricuspid Valve Replacement in Patients With Previous Tricuspid Valve Surgery - 10/01/22
Abstract |
Objectives |
This study was performed to investigate the short-term and long-term survival of patients who underwent reoperative tricuspid valve replacement (TVR).
Methods |
A retrospective analysis was performed of 273 patients who underwent TVRs while hospitalised in Beijing Anzhen Hospital from November 1993 to August 2018. Fifty-six (56) of them underwent reoperative TVR: 36 had previous tricuspid valve repair and 20 had previous TVR. Follow-up was 100% complete, with a mean follow-up of 8 years (range, 1–15 years).
Results |
The overall in-hospital mortality was 17.9% (n=10). In the univariate analysis, the overall in-hospital mortality and renal failure rate in the replacement group were lower than those in the repair group (5.0% vs 25%; p=0.046 and 27.8% vs 5%; p=0.040). However, in-hospital mortality was no longer statistically significant after multivariate adjustment (adjusted OR 0.318; 95% CI 0.030–3.338; p=0.340). There was no significant difference in survival between the patients with previous repair and those with previous replacement (log-rank test, p=0.839). Factors that correlated with long-term mortality on multivariate analysis were age >60 years (adjusted HR 11.753; 95% CI 1.686–81.915; p=0.013); cardiopulmonary bypass time (adjusted HR 1.019; 95% CI 1.005–1.034; p=0.009); intensive care unit time (adjusted HR 1.024; 95% CI 1.006–1.042; p=0.009); and ventilation time (adjusted HR 0.982; 95% CI 0.965–0.998; p=0.030).
Conclusions |
Reoperative TVR was associated with high in-hospital mortality and morbidity. Overall in-hospital mortality was similar between the previous replacement group and the previous repair group. Previous tricuspid valve repair and replacement had similar long-term survival.
Le texte complet de cet article est disponible en PDF.Keywords : Tricuspid valve, Tricuspid valve repair, Tricuspid valve replacement, Survival
Plan
Vol 31 - N° 2
P. 278-284 - février 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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