scholarly journals Isolated tricuspid valve surgery—Repair versus replacement: A meta‐analysis

Author(s):  
Panagiotis Sarris‐Michopoulos ◽  
Alejandro E. Macias ◽  
Constantine Sarris‐Michopoulos ◽  
Palina Woodhouse ◽  
Daniel Buitrago ◽  
...  
Author(s):  
Panagiotis Sarris-Michopoulos ◽  
Alejandro Macias ◽  
Constantine Sarris-Michopoulos ◽  
Palina Woodhouse ◽  
Daniel Buitrago ◽  
...  

Objective: There is paucity of data on outcomes after isolated tricuspid valve surgery. This meta-analysis aims to compile available data on isolated tricuspid valve surgery and compare isolated tricuspid valve repair (iTVr) with isolated tricuspid valve replacement (iTVR) to elucidate outcomes after tricuspid valve surgery. Methods: A literature search of 6 databases was performed. The primary outcomes was 30-day mortality. Secondary outcomes were early stroke, post-op pacemaker placement, and tricuspid reoperation within 5 years. Publication bias was explored using the funnel plot. Results: Ten retrospective studies involving 1407 patients (iTVr group = 779 patients and iTVR group = 628 patients) were included. A cumulative analysis demonstrated a significant difference favoring iTVr for 30-day mortality [odds ratio – 10 studies (95% confidence interval) 0.34 (0.18-0.66)]; 4.7% versus 12.6%, for iTVr and iTVR, respectively. Post-op pacemaker placement favored iTVr [odds ratio – 6 studies (95% confidence interval) 0.37 (0.18-0.77)]. Although stroke rates and TV reoperation favored iTVr, they did not reach statistical significance. No publication bias was identified. Conclusions: This meta-analysis demonstrates that iTVr has better 30-day mortality and fewer permanent pacemaker placements. Etiology and severity of TR, as well as careful patient selection remain the most important factors for optimal outcomes.


2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
K.-W. Felkel ◽  
K. Kampmann ◽  
F. Hahnel ◽  
H. Reichenspurner ◽  
H. Gulbins

2018 ◽  
Vol 66 (6) ◽  
Author(s):  
Ahmed El-Eshmawi ◽  
Dimosthenis Pandis ◽  
David H. Adams ◽  
Gilbert H. Tang

2021 ◽  
Vol 5 (sup1) ◽  
pp. 10-10
Author(s):  
Sri Harsha Patlolla ◽  
Hartzell V. Schaff ◽  
Juan A. Crestanello ◽  
Joseph A. Dearani ◽  
Richard C. Daly ◽  
...  

2021 ◽  
Vol 36 (3) ◽  
pp. 981-989 ◽  
Author(s):  
Lauren Huckaby ◽  
Laura Seese ◽  
Yeahwa Hong ◽  
Ibrahim Sultan ◽  
Thomas Gleason ◽  
...  

2021 ◽  
Vol 77 (18) ◽  
pp. 1247
Author(s):  
Amy Hembree ◽  
Matthew Lawlor ◽  
Samantha Nemeth ◽  
Andrea Miltiades ◽  
Paul Kurlansky ◽  
...  

2021 ◽  
Vol 5 (sup1) ◽  
pp. 49-49
Author(s):  
Ee Phui Kew ◽  
Vincenzo Caruso ◽  
Antonio Bivona ◽  
Paolo Bosco ◽  
Gianluca Lucchese

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