PMID- 30919906
OWN - NLM
STAT- MEDLINE
DCOM- 20201027
LR  - 20220410
IS  - 1873-734X (Electronic)
IS  - 1010-7940 (Linking)
VI  - 56
IP  - 4
DP  - 2019 Oct 1
TI  - Results for tricuspid valve surgery in adults with congenital heart disease other 
      than Ebstein's anomalydagger.
PG  - 706-713
LID - 10.1093/ejcts/ezz093 [doi]
AB  - OBJECTIVES: Tricuspid valve (TV) surgery in the adult with congenital heart 
      disease (ACHD) is a frequently performed procedure. The aim of this study was to 
      analyse postoperative and medium-term outcomes. METHODS: We conducted a 
      single-centre retrospective study of patients with ACHD who underwent TV surgery 
      (January 2000-December 2016); patients with Ebstein's anomalies were excluded. 
      Operative and clinical records were reviewed. Outcomes considered were survival, 
      grade of insufficiency/stenosis and TV reoperation at follow-up. RESULTS: A total 
      of 128 patients with ACHD had TV surgery for functional regurgitation (n = 95), 
      dysplasia (n = 23) and systemic TV (n = 10). Median age was 40.8 years 
      [interquartile range (IQR) 25.3]; 55.5% were men. Preoperative regurgitation was 
      classified as mild (n = 8), moderate (n = 47) and severe (n = 70). The TV was 
      repaired in 109 as follows: ring annuloplasty (n = 43), de Vega annuloplasty 
      (n = 29), Wooler annuloplasty (n = 13), commissural plasty (n = 9), Kay 
      annuloplasty (n = 7) and others (n = 8). The TV was replaced in 19 patients with 
      biological (n = 10) and mechanical (n = 9) prostheses. The median hospital stay 
      was 12 days (IQR 10). The overall mortality rate was 8.6% (n = 11): 2 hospital 
      deaths (1.6%) and 9 late deaths. Survival was 93% [95% confidence interval (CI) 
      85-97%] at 5 years and 83% (95% CI 70-91%) at 10 years. The median follow-up 
      period was 4.95 years (IQR 7.7) with 1 TV reoperation. Echocardiographic 
      assessment showed >/=moderate regurgitation in 34 (34.3%) patients. Suture plasty 
      had a significantly higher incidence of TV regurgitation >/=moderate compared to 
      ring annuloplasty (48.9% vs 26.3%; P = 0.033). CONCLUSIONS: TV surgery in the 
      ACHD is frequently associated with other main procedures. Stabilizing the TV 
      annulus with a prosthetic ring guarantees lower recurrence of moderate to severe 
      regurgitation compared to suture plasty repair.
CI  - (c) The Author(s) 2019. Published by Oxford University Press on behalf of the 
      European Association for Cardio-Thoracic Surgery. All rights reserved.
FAU - Lo Rito, Mauro
AU  - Lo Rito M
AD  - Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San 
      Donato Milanese, Italy.
FAU - Grandinetti, Maria
AU  - Grandinetti M
AD  - Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San 
      Donato Milanese, Italy.
FAU - Muzio, Giulia
AU  - Muzio G
AD  - Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San 
      Donato Milanese, Italy.
FAU - Varrica, Alessandro
AU  - Varrica A
AD  - Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San 
      Donato Milanese, Italy.
FAU - Frigiola, Alessandro
AU  - Frigiola A
AD  - Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San 
      Donato Milanese, Italy.
FAU - Micheletti, Angelo
AU  - Micheletti A
AD  - Pediatric and Adult Congenital Cardiology, IRCCS Policlinico San Donato, San 
      Donato Milanese, Italy.
FAU - Chessa, Massimo
AU  - Chessa M
AD  - Pediatric and Adult Congenital Cardiology, IRCCS Policlinico San Donato, San 
      Donato Milanese, Italy.
FAU - Giamberti, Alessandro
AU  - Giamberti A
AD  - Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San 
      Donato Milanese, Italy.
LA  - eng
PT  - Journal Article
PL  - Germany
TA  - Eur J Cardiothorac Surg
JT  - European journal of cardio-thoracic surgery : official journal of the European 
      Association for Cardio-thoracic Surgery
JID - 8804069
SB  - IM
MH  - Adult
MH  - Cardiac Surgical Procedures
MH  - Ebstein Anomaly
MH  - Female
MH  - Heart Defects, Congenital/*complications
MH  - Humans
MH  - Male
MH  - Retrospective Studies
MH  - Time Factors
MH  - Treatment Outcome
MH  - Tricuspid Valve/*surgery
MH  - Tricuspid Valve Insufficiency/*complications/*surgery
OTO - NOTNLM
OT  - Adult with congenital heart disease
OT  - Atrial septal defect
OT  - Congenital heart disease
OT  - De Vega
OT  - Grown up congenital heart disease
OT  - Heart failure
OT  - Long-term outcome
OT  - Outcomes
OT  - Prosthetic ring
OT  - Surgery
OT  - Tetralogy of Fallot
OT  - Tricuspid valve
OT  - Valve repair
EDAT- 2019/03/29 06:00
MHDA- 2020/10/28 06:00
CRDT- 2019/03/29 06:00
PHST- 2018/10/16 00:00 [received]
PHST- 2019/01/25 00:00 [revised]
PHST- 2019/02/03 00:00 [accepted]
PHST- 2019/03/29 06:00 [pubmed]
PHST- 2020/10/28 06:00 [medline]
PHST- 2019/03/29 06:00 [entrez]
AID - 5421312 [pii]
AID - 10.1093/ejcts/ezz093 [doi]
PST - ppublish
SO  - Eur J Cardiothorac Surg. 2019 Oct 1;56(4):706-713. doi: 10.1093/ejcts/ezz093.