Long-term prognosis and risk factors in tricuspid valve replacement surgery: a single-center study
BackgroundTricuspid valve replacement (TVR), although accounting for a minority of heart valve surgeries, poses significant challenges, including poor patients’ condition, prosthetic complications, and increased perioperative mortality rates. Despite preferences for valvuloplasty, some cases necessi...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1532945/full |
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| author | Yingjie Ke Yingjie Ke Linbin Hua Shanwen Pang Qiuji Wang Lishan Zhong Zhenzhong Wang Kan Zhou Rong Zeng Huanlei Huang Huanlei Huang Huanlei Huang |
| author_facet | Yingjie Ke Yingjie Ke Linbin Hua Shanwen Pang Qiuji Wang Lishan Zhong Zhenzhong Wang Kan Zhou Rong Zeng Huanlei Huang Huanlei Huang Huanlei Huang |
| author_sort | Yingjie Ke |
| collection | DOAJ |
| description | BackgroundTricuspid valve replacement (TVR), although accounting for a minority of heart valve surgeries, poses significant challenges, including poor patients’ condition, prosthetic complications, and increased perioperative mortality rates. Despite preferences for valvuloplasty, some cases necessitate replacement. The choice of tricuspid valve type remains controversial, and there is no consensus on surgical risk factors. Additionally, long-term follow-up reports on a large number of cases are lacking. In this study, we aimed to analyze the medical records of the largest number of patients who underwent TVR surgery.MethodsPatients who underwent TVR between 1999 and 2023 were divided into mechanical (MTVR) and bioprosthetic (BTVR) groups. Risk factors for overall mortality were analyzed.ResultsIn total, 626 patients were enrolled. The in-hospital and overall mortality rates were 12.1% and 42.8%, respectively. The in-hospital mortality rate (7.0% vs. 14.2%), incidence of acute renal insufficiency (4.3% vs. 12.2%), and hemodialysis rate (3.2% vs. 10.4%) were significantly higher in the BTVR group than in the MTVR group (P < 0.01). The median follow-up was 11 years (range 0.1–24 years). The MTVR group had significantly higher rates of long-term survival, hemorrhagic events, heart failure events, and re-operation rates than the BTVR group (P < 0.01). Multifactorial logistic regression analysis identified body weight, New York heart function classification, extracorporeal circulation time, and ventilator time as independent risk factors for in-hospital mortality. New York heart function classification during follow-up was identified as an independent risk factor for overall patient mortality.ConclusionsMTVR was superior to BTVR regarding short- and long-term outcomes. New York heart function classification was associated with short- and long-term mortality. |
| format | Article |
| id | doaj-art-dee7f3a6f1a34fb9af6b117889b9dde7 |
| institution | OA Journals |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Surgery |
| spelling | doaj-art-dee7f3a6f1a34fb9af6b117889b9dde72025-08-20T02:16:18ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-04-011210.3389/fsurg.2025.15329451532945Long-term prognosis and risk factors in tricuspid valve replacement surgery: a single-center studyYingjie Ke0Yingjie Ke1Linbin Hua2Shanwen Pang3Qiuji Wang4Lishan Zhong5Zhenzhong Wang6Kan Zhou7Rong Zeng8Huanlei Huang9Huanlei Huang10Huanlei Huang11Department of Cardiovascular Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaDepartment of Cardiovascular Surgery, Guangdong Provincial People’s Hospital’s Nanhai Hospital, The Second People’s Hospital of Nanhai District Foshan City, Foshan, Guangdong, ChinaDepartment of Cardiovascular Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaDepartment of Cardiovascular Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaDepartment of Cardiovascular Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaDepartment of Cardiovascular Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaDepartment of Cardiovascular Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaDepartment of Cardiovascular Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaDepartment of Cardiovascular Surgery, Guangdong Provincial First Veterans Hospital, Guangzhou, ChinaDepartment of Cardiovascular Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, ChinaDepartment of Cardiovascular Surgery, Guangdong Provincial People’s Hospital’s Nanhai Hospital, The Second People’s Hospital of Nanhai District Foshan City, Foshan, Guangdong, ChinaSchool of Medicine, South China University of Technology, Guangzhou, ChinaBackgroundTricuspid valve replacement (TVR), although accounting for a minority of heart valve surgeries, poses significant challenges, including poor patients’ condition, prosthetic complications, and increased perioperative mortality rates. Despite preferences for valvuloplasty, some cases necessitate replacement. The choice of tricuspid valve type remains controversial, and there is no consensus on surgical risk factors. Additionally, long-term follow-up reports on a large number of cases are lacking. In this study, we aimed to analyze the medical records of the largest number of patients who underwent TVR surgery.MethodsPatients who underwent TVR between 1999 and 2023 were divided into mechanical (MTVR) and bioprosthetic (BTVR) groups. Risk factors for overall mortality were analyzed.ResultsIn total, 626 patients were enrolled. The in-hospital and overall mortality rates were 12.1% and 42.8%, respectively. The in-hospital mortality rate (7.0% vs. 14.2%), incidence of acute renal insufficiency (4.3% vs. 12.2%), and hemodialysis rate (3.2% vs. 10.4%) were significantly higher in the BTVR group than in the MTVR group (P < 0.01). The median follow-up was 11 years (range 0.1–24 years). The MTVR group had significantly higher rates of long-term survival, hemorrhagic events, heart failure events, and re-operation rates than the BTVR group (P < 0.01). Multifactorial logistic regression analysis identified body weight, New York heart function classification, extracorporeal circulation time, and ventilator time as independent risk factors for in-hospital mortality. New York heart function classification during follow-up was identified as an independent risk factor for overall patient mortality.ConclusionsMTVR was superior to BTVR regarding short- and long-term outcomes. New York heart function classification was associated with short- and long-term mortality.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1532945/fulltricuspid valve replacementbioprosthetic valveMechanical Valvelong-term follow-uprisk factors |
| spellingShingle | Yingjie Ke Yingjie Ke Linbin Hua Shanwen Pang Qiuji Wang Lishan Zhong Zhenzhong Wang Kan Zhou Rong Zeng Huanlei Huang Huanlei Huang Huanlei Huang Long-term prognosis and risk factors in tricuspid valve replacement surgery: a single-center study Frontiers in Surgery tricuspid valve replacement bioprosthetic valve Mechanical Valve long-term follow-up risk factors |
| title | Long-term prognosis and risk factors in tricuspid valve replacement surgery: a single-center study |
| title_full | Long-term prognosis and risk factors in tricuspid valve replacement surgery: a single-center study |
| title_fullStr | Long-term prognosis and risk factors in tricuspid valve replacement surgery: a single-center study |
| title_full_unstemmed | Long-term prognosis and risk factors in tricuspid valve replacement surgery: a single-center study |
| title_short | Long-term prognosis and risk factors in tricuspid valve replacement surgery: a single-center study |
| title_sort | long term prognosis and risk factors in tricuspid valve replacement surgery a single center study |
| topic | tricuspid valve replacement bioprosthetic valve Mechanical Valve long-term follow-up risk factors |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1532945/full |
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