scholarly journals Transcatheter Tricuspid Valve-in-Valve Procedure—An Illustrative Case Report and Review

2021 ◽  
Vol 10 (17) ◽  
pp. 4004
Author(s):  
Márcio José Montenegro da Costa ◽  
Edgard Freitas Quintella ◽  
Luiz Kohn ◽  
Maximiliano Otero Lacoste ◽  
Gustavo Lycurgo Leite ◽  
...  
Keyword(s):  
Tricuspid Valve ◽  
Operative Mortality ◽  
Mortality Rates ◽  
Valve Surgery ◽  
Illustrative Case ◽  
Conventional Surgery ◽  
Cardiac Morbidity ◽  
Tricuspid Valve Surgery ◽  
Future Challenges ◽  
Valve In Valve

Severe tricuspid commitment is no longer understood as merely a marker of disease but is now widely thought of as a significant contributor to cardiac morbidity and mortality. However, isolated tricuspid valve surgery remains rare and to this day continues to be associated with the highest surgical risk among all valve procedures and high operative mortality rates, especially in reoperations. Therefore, the development of tricuspid transcatheter procedures is as necessary as it was for the other valves a couple of years ago. Recently, multiple percutaneous therapies have been developed for the management of severe tricuspid disease, initially only repair and more recently replacement, thus creating a new branch for the management of patients who have already undergone surgery and who present with dysfunctional bioprostheses. The purpose of this review and report is to demonstrate current and possible future challenges, and to show that the valve-in-valve procedure of the tricuspid valve is feasible and safe, and now can be performed in all its range, in the smallest to the largest sizes of presentation, without incurring the untoward risks of conventional surgery.

Operative Outcomes of Concomitant Minimally Invasive Mitral and Tricuspid Valve Surgery

2019 ◽  
Vol 14 (5) ◽  
pp. 412-418
Author(s):  
Arman Kilic ◽  
Wilson Y. Szeto ◽  
Pavan Atluri ◽  
Michael A. Acker ◽  
W. Clark Hargrove
Keyword(s):  
Minimally Invasive ◽  
Hospital Stay ◽  
Tricuspid Valve ◽  
Operative Mortality ◽  
Length Of Hospital Stay ◽  
Valve Surgery ◽  
Operative Outcomes ◽  
Tricuspid Valve Surgery ◽  
Port Access ◽  
Access Right

Objective The aim of this study was to evaluate whether the addition of concomitant tricuspid valve surgery (TVS) negatively impacted operative outcomes of minimally invasive mitral valve surgery (MIMVS). Methods Patients undergoing MIMVS via a port-access right minithoracotomy between 2002 and 2014 at a single institution were reviewed. Patients were primarily stratified by those undergoing isolated MIMVS versus MIMVS+TVS. Propensity-matched cohorts were generated. Operative outcomes were compared between the propensity-matched cohorts and included operative mortality, complications, and length of hospital stay. Results A total of 1,158 patients underwent MIMVS via port-access right minithoracotomy. The majority of cases were elective (93%; n = 1,071) and 148 (13%) underwent concomitant MIMVS + TVS. Patients undergoing MIMVS + TVS were at higher risk at baseline. After propensity-matching, there were 119 isolated MIMVS and 119 MIMVS + TVS patients that were well matched with respect to all baseline variables. Cardiopulmonary bypass (148 ± 54 minutes versus 175 ± 54 minutes, P < 0.001) and aortic occlusion times (105 ± 36 minutes versus 128 ± 40 minutes, P < 0.001) were longer in the MIMVS + TVS group. Operative mortality was comparable (3% isolated MIMVS versus 4% for MIMVS + TVS; P = 0.73). Permanent pacemakers were required less frequently in the isolated MIMVS group (1% versus 6%; P = 0.03). All other complication rates were similar. Median length of hospital stay (7 versus 8 days; P = 0.13) and discharge-to-home rates (89% versus 94%; P = 0.15) were comparable. Conclusions Despite longer operative times, minimally invasive TVS performed concomitantly with MIMVS has similar operative outcomes with the exception of a higher pacemaker rate when compared with isolated MIMVS.

scholarly journals Prevalence of moderate-to-severe TR suitable for percutaneous intervention in TTE patients

2018 ◽  
pp. 149-153
Author(s):  
Z H Teoh ◽  
J Roy ◽  
J Reiken ◽  
M Papitsas ◽  
J Byrne ◽  
...  
Keyword(s):  
Tricuspid Valve ◽  
Tricuspid Regurgitation ◽  
Transthoracic Echocardiography ◽  
Operative Mortality ◽  
Percutaneous Intervention ◽  
Valve Surgery ◽  
Severe Tricuspid Regurgitation ◽  
Mortality And Morbidity ◽  
Tricuspid Valve Surgery ◽  
Tertiary Center

Moderate-to-severe tricuspid regurgitation is associated with higher mortality and morbidity yet remains significantly undertreated. The reasons for this are complex but include a higher operative mortality for patients undergoing isolated tricuspid valve surgery. This study sought to determine the prevalence of patients with moderate-to-severe tricuspid regurgitation and identify those who could be potentially suitable for percutaneous tricuspid valve intervention by screening patients referred for transthoracic echocardiography (ECHO) at a tertiary center. Our results showed that the prevalence of moderate-to-severe tricuspid regurgitation in our total ECHO patient population was 2.8%. Of these, approximately one in eight patients with moderate-to-severe tricuspid regurgitation would be potentially suitable for percutaneous intervention and suggests a large, unmet clinical need in this population.

Surgical technique does not influence the long term mortality after tricuspid valve surgery

2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
K.-W. Felkel ◽  
K. Kampmann ◽  
F. Hahnel ◽  
H. Reichenspurner ◽  
H. Gulbins
Keyword(s):  
Surgical Technique ◽  
Tricuspid Valve ◽  
Valve Surgery ◽  
Tricuspid Valve Surgery ◽  
Long Term Mortality

Tricuspid valve surgery: repair and replacement

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

Does Prosthetic Replacement Impact Right Ventricular Reverse Remodeling in Patients Undergoing Isolated Tricuspid Valve Surgery?

2021 ◽  
Vol 5 (sup1) ◽  
pp. 10-10
Author(s):  
Sri Harsha Patlolla ◽  
Hartzell V. Schaff ◽  
Juan A. Crestanello ◽  
Joseph A. Dearani ◽  
Richard C. Daly ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Tricuspid Valve ◽  
Valve Surgery ◽  
Reverse Remodeling ◽  
Prosthetic Replacement ◽  
Tricuspid Valve Surgery

Concomitant tricuspid valve surgery is beneficial at the time of left‐sided valve surgery

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

scholarly journals EFFECT OF ECMO INITIATION TIMING ON TRICUSPID VALVE SURGERY OUTCOMES

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