Outcome and determinants of prognosis in patients undergoing isolated tricuspid valve surgery: Retrospective single center analysis Pieter De Meester, Alexander Van De Bruaene, Jens-Uwe Voigt, Paul Herijgers, Werner Budts PII: DOI: Reference:
S0167-5273(14)01066-3 doi: 10.1016/j.ijcard.2014.06.003 IJCA 18221
To appear in:
International Journal of Cardiology
Received date: Revised date: Accepted date:
16 July 2013 13 February 2014 1 June 2014
Please cite this article as: De Meester Pieter, Van De Bruaene Alexander, Voigt JensUwe, Herijgers Paul, Budts Werner, Outcome and determinants of prognosis in patients undergoing isolated tricuspid valve surgery: Retrospective single center analysis, International Journal of Cardiology (2014), doi: 10.1016/j.ijcard.2014.06.003
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ACCEPTED MANUSCRIPT Outcome and determinants of prognosis in patients undergoing isolated tricuspid valve
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surgery: retrospective single center analysis.
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Pieter De Meester, MD*; Alexander Van De Bruaene, MD, PhD*; Jens-Uwe Voigt, MD, PhD*; Paul Herijgers, MD, PhD†; Werner Budts, MD, PhD*
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*Department of Cardiology and †department of Cardiac Surgery, University Hospitals
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Leuven, Leuven, Belgium
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Brief title: Predictors of tricuspid valve surgery outcome
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Total word count: 4664
Correspondence to:
Werner Budts, MD, PhD, FACC, FESC Congenital and Structural Cardiology University Hospitals Leuven Herestraat 49 B-3000 Leuven Tel: 00-32-16-344369 Fax: 00-32-16-344240 Email:
[email protected] ACCEPTED MANUSCRIPT Abstract Aims. Although tricuspid valve (TV) surgery has become more popular, isolated TV surgery
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is infrequently performed. The aims of this study were (1) to evaluate the postoperative and
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long-term mortality of patients undergoing isolated TV surgery, (2) to compare the outcomes of patients undergoing their first TV surgery or TV reoperation, and (3) to assess the additive
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value of echocardiographic and invasive hemodynamic evaluations for predicting postoperative outcome.
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Methods. We followed a contemporary cohort of patients undergoing isolated TV surgery
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from January 1, 1995, through December 31, 2011. Preoperative demographic, echocardiographic, hemodynamic, and operative data were included. Outcome was all-cause
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mortality.
Results. Ninety-two patients (38% male; mean age: 56±14 years) were included. Kaplan-
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Meier survival analyses showed that 30-day, 3-month, 5-year, and 10-year mortality were 7.9%, 15.2%, 25.7%, and 53.7%, respectively. No difference in outcome was found between
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patients undergoing first TV surgery (n=61) and TV reoperation (n=31) (p=0.669). Univariable Cox analysis identified age (p