Clinical outcomes after tricuspid surgery
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J. Rodríguez-Capitán1,7 · V. M. Becerra-Muñoz2 · B. Pérez-Villardón3 · G. SánchezEspín2 · M. Such-Martínez2 · A. Flores-Marín4 · I. Fernández-Pérez5 · A. GarcíaBellón6 · C. Porras-Martín2 · M. J. Mataró-López2 · J. M. Melero-Tejedor2 · E. Rodríguez-Caulo2 · J. J. Otero-Forero2 · A. Cordero-Aguilar1 · R. López-Salguero1 · J. J. Gómez-Doblas2 · E. de Teresa-Galván2 1
CIBERCV Enfermedades Cardiovasculares, Servicio de Medicina Interna, Hospital de Antequera, Antequera (Málaga), Spain 2 Unidad de Gestión Clínica del Corazón, Hospital Universitario Virgen de la Victoria, CIBERCV Enfermedades Cardiovasculares, Instituto de Investigación Biomédica de Málaga (IBIMA), Universidad de Málaga (UMA), Málaga, Spain 3 Servicio de Medicina Interna, Hospital Comarcal de la Axarquía, Vélez-Málaga (Málaga), Spain 4 Servicio de Cardiología, Hospital Costa del Sol, Marbella (Málaga), Spain 5 Servicio de Medicina Interna, Hospital Punta de Europa, Algeciras (Cádiz), Spain 6 Unidad de Gestión Clínica del Corazón, Hospital Regional de Málaga, Málaga, Spain 7 Málaga, Spain
Clinical outcomes after tricuspid surgery The role of previous cardiac surgery A high percentage of patients with tricuspid regurgitation (TR) who undergo surgical treatment have had one or more cardiac surgical procedures prior to the aforementioned tricuspid surgery [1]. Generally, it can be affirmed that patients who have had previous cardiac surgery have elevated perioperative and long-term mortality following tricuspid valve surgery [2]. However, the majority of series that have analyzed tricuspid surgery were not designed to draw a comparison according to whether the patient had undergone previous cardiac surgery or not. As such, it is difficult to find evidence that demonstrates that the clinical outcomes for each group are significantly different. Therefore, the aim of our study was to evaluate the outcomes of surgical treatment of severe TR in our center, comparing short- and long-term clinical outcomes according to whether or not at least one previous cardiac surgery was performed prior to the tricuspid valve intervention.
J. Rodríguez-Capitán and V.M. Becerra-Muñoz contributed equally to this work.
Patients and methods Study population We designed a retrospective study that included 201 consecutive patients who presented with severe TR who had not had any previous cardiac surgery for this pathology and who underwent surgery for tricuspid valve replacement or repair in our center from April 1996 to December 2013. During that period, 2485 valve surgeries were performed in our center. Patients who had had at least one previous surgical procedure were compared with those for whom the tricuspid surgery constituted or was part of their first cardiac surgical intervention. The indication for tricuspid valve surgery was determined according to the presence of a severe, symptomatic tricuspid valve lesion that was either isolated or concomitant with another cardiac lesion. Treatment was decided upon by consensus between cardiologists, cardiac surgeons, and the patient. Repai
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