PMID- 33118728 OWN - NLM STAT- MEDLINE DCOM- 20210204 LR - 20210204 IS - 1678-9741 (Electronic) IS - 0102-7638 (Print) IS - 0102-7638 (Linking) VI - 35 IP - 5 DP - 2020 Oct 1 TI - Mid-Term Outcome after Tricuspid Valve Replacement. PG - 644-653 LID - 10.21470/1678-9741-2019-0215 [doi] AB - OBJECTIVE: To evaluate the mid-term survival rate after tricuspid valve replacement (TVR). METHODS: We retrospectively studied 110 consecutive patients who underwent TVR from January 2007 to November 2017. A survival analysis was performed with the Kaplan-Meier method and the log-rank test. RESULTS: The median survival was 65.81 months. Mean age was 50 (range 39 to 59) years. Forty-eight patients (43.6%) were male, and 62 patients (56.4%) were female. Most of the patients (78.5%) were categorized into the New York Heart Association (NYHA) functional classes III/IV. Seventy-two patients (65.5%) had isolated TVR. Six-three patients (57.3%) had previously undergone heart surgery. The Kaplan-Meier survival rates at one year, three years, and five years were 59.0%+/-5%, 52.0%+/-6%, and 48.0%+/-6%, respectively. A Cox regression analysis demonstrated that the risk factors for mid-term mortality were advanced NYHA class (hazard ratio [HR] 2.430, 95% confidence interval [CI] 1.099-5.375, P=0.028), need for continuous renal replacement therapy (CRRT) treatment (HR 3.121, 95% CI 1.610-6.050, P=0.001), and need for intra-aortic balloon pump (IABP) treatment (HR 3.356, 95% CI 1.072-10.504, P=0.038). CONCLUSION: In TVR, impaired cardiac function before the operation and a need for CRRT or IABP treatment after the operation is independently associated with increased mid-term mortality. FAU - Cheng, Yanmei AU - Cheng Y AD - The First Affiliated Hospital of Sun Yat-sen University Department of Cardiothoracic Surgery ICU Guangzhou People's Republic of China Department of Cardiothoracic Surgery ICU, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - Mo, Shaoyan AU - Mo S AD - The First Affiliated Hospital of Sun Yat-sen University Department of Cardiopulmonary Bypass Guangzhou People's Republic of China Department of Cardiopulmonary Bypass, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - Wang, Keke AU - Wang K AD - The First Affiliated Hospital of Sun Yat-sen University Department of Cardiopulmonary Bypass Guangzhou People's Republic of China Department of Cardiopulmonary Bypass, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - Fan, Rui AU - Fan R AD - The First Affiliated Hospital of Sun Yat-sen University Department of Echocardiography Guangzhou People's Republic of China Department of Echocardiography, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - Liu, Yunqi AU - Liu Y AD - The First Affiliated Hospital of Sun Yat-sen University Department of Cardiac Surgery Guangzhou People's Republic of China Department of Cardiac Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - Li, Si AU - Li S AD - The First Affiliated Hospital of Sun Yat-sen University Department of Cardiothoracic Surgery ICU Guangzhou People's Republic of China Department of Cardiothoracic Surgery ICU, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - Zhang, Xi AU - Zhang X AD - The First Affiliated Hospital of Sun Yat-sen University Department of Cardiac Surgery Guangzhou People's Republic of China Department of Cardiac Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - Yin, Shengli AU - Yin S AD - The First Affiliated Hospital of Sun Yat-sen University Department of Cardiac Surgery Guangzhou People's Republic of China Department of Cardiac Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - Xu, Yingqi AU - Xu Y AD - The First Affiliated Hospital of Sun Yat-sen University Department of Cardiac Surgery Guangzhou People's Republic of China Department of Cardiac Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - Tang, Baiyun AU - Tang B AD - The First Affiliated Hospital of Sun Yat-sen University Department of Cardiothoracic Surgery ICU Guangzhou People's Republic of China Department of Cardiothoracic Surgery ICU, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. FAU - Wu, Zhongkai AU - Wu Z AD - The First Affiliated Hospital of Sun Yat-sen University Department of Cardiac Surgery Guangzhou People's Republic of China Department of Cardiac Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China. LA - eng PT - Journal Article DEP - 20201001 PL - Brazil TA - Braz J Cardiovasc Surg JT - Brazilian journal of cardiovascular surgery JID - 101677045 SB - IM MH - Adult MH - Cardiac Surgical Procedures MH - Female MH - *Heart Valve Prosthesis Implantation MH - Humans MH - Male MH - Middle Aged MH - Retrospective Studies MH - Stroke Volume MH - Treatment Outcome MH - Tricuspid Valve/*surgery MH - Ventricular Function, Left PMC - PMC7598977 OTO - NOTNLM OT - Cardiac Surgical Procedures OT - Confidence Intervals OT - Intra-Aortic Balloon Pumping OT - Risk factors OT - Survival Rate OT - Tricuspid Valve COIS- No conflict of interest. EDAT- 2020/10/30 06:00 MHDA- 2021/02/05 06:00 PMCR- 2020/09/01 CRDT- 2020/10/29 10:58 PHST- 2020/10/30 06:00 [pubmed] PHST- 2021/02/05 06:00 [medline] PHST- 2020/10/29 10:58 [entrez] PHST- 2020/09/01 00:00 [pmc-release] AID - 10.21470/1678-9741-2019-0215 [doi] PST - epublish SO - Braz J Cardiovasc Surg. 2020 Oct 1;35(5):644-653. doi: 10.21470/1678-9741-2019-0215.