Tricuspid surgery at time of mitral surgery improves survival free from severe tricuspid regurgitation but not quality of life.
Publication/Presentation Date
12-1-2023
Abstract
OBJECTIVE: The choice to operate on moderate tricuspid regurgitation (TR) during mitral surgery is challenging owing to limited mid-term data. We assess whether concomitant tricuspid operations improve mid-term quality of life, morbidity, or mortality.
METHODS: An institutional database identified mitral surgery recipients with moderate TR at the time of surgery from 2010 to 2019. Patients were stratified by the presence of a concomitant tricuspid operation. Quality of life at the last follow-up was assessed with the Kansas City Cardiomyopathy Questionnaire (KCCQ-12). Morbidity was compared using the χ
RESULTS: Of 210 mitral surgery recipients, 67 (31.9%) underwent concomitant tricuspid surgery. The concomitant tricuspid surgery cohort had greater preoperative dialysis use (10.5% vs 3.5%;
CONCLUSIONS: Concomitant tricuspid surgery for moderate TR is associated with increased 5-year survival free from severe TR but not with increased quality of life.
Volume
16
First Page
250
Last Page
262
ISSN
2666-2736
Published In/Presented At
Weingarten, N., Iyengar, A., Song, C., Rekhtman, D., Ganjoo, N., Lee, S., Karimanasseri, C., Helmers, M., Patel, M., Herbst, D. A., Kelly, J. J., & Atluri, P. (2023). Tricuspid surgery at time of mitral surgery improves survival free from severe tricuspid regurgitation but not quality of life. JTCVS open, 16, 250–262. https://doi.org/10.1016/j.xjon.2023.10.010
Disciplines
Medicine and Health Sciences
PubMedID
38204651
Department(s)
Department of Surgery
Document Type
Article