Surgical treatment of tricuspid valve endocarditis: a single-centre experience

Capoun, Radek; Thomas, Martín; Caputo, Massimo; Asimakopoulos, Georgios

doi:10.1177/0267659110371857

Cited by 11 publications

(16 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…32) Although mitral valve surgery has evolved over the past few decades towards progressively earlier intervention, even in selected asymptomatic patients, 33) these more aggressive surgical concepts have not been transferred to TV surgery so far. The long-term survival after TV surgery in the present study ( Figure 2) was comparable to those reported in other series, [1][2][3][4][5][6][7][8]10,34) but we also expect the outcome to improve further by earlier operation, before the patients develop heart failure symptoms and other secondary organ failure. 27) In TV surgery, the potential benefit of repair compared to replacement is still a matter of controversy.…”

Section: Discussionsupporting

confidence: 91%

“…[1][2][3][4][5] Additionally, compared to other heart valve diseases, the incidence of endocarditis caused by infected central venous catheters or pacemaker leads is markedly higher. 6,7) Many of these patients have a history of long-term intravenous drug abuse, intracardiac devices, or need hemodialysis. 7,8) Although TV repair is known to be the treatment of choice for patients with functional TV regurgitation based on left heart failure, 3,9) TV replacement is still the standard treatment for patients with organic TV diseases associated with leaflet destruction.…”

mentioning

confidence: 99%

“…6,7) Many of these patients have a history of long-term intravenous drug abuse, intracardiac devices, or need hemodialysis. 7,8) Although TV repair is known to be the treatment of choice for patients with functional TV regurgitation based on left heart failure, 3,9) TV replacement is still the standard treatment for patients with organic TV diseases associated with leaflet destruction. [10][11][12] On the other hand, recent advances in surgical techniques allow for complex leaflet repair of tricuspid valve lesions.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Beating Heart Versus Arrested Heart Isolated Tricuspid Valve Surgery

et al. 2015

View full text Add to dashboard Cite

We analyzed the long-term results of two surgical techniques (beating versus non-beating) for isolated tricuspid valve (TV) surgery.The long-term results of 92 consecutive patients who underwent isolated TV surgery were analyzed. We compared patients with beating heart (BH) surgery (n = 48) with patients undergoing arrested heart (AH) surgery (n = 44).BH surgery was more frequently chosen in urgent/emergent operations (P = 0.029) and in redo-operations (P < 0.001). Preoperatively, the rates of renal insufficiency (P = 0.002) and EuroSCORE (P = 0.019) were higher in the BH group than in the AH group. There were no differences in perioperative outcomes and 30-day mortality between the groups. However, freedom from reoperation was significantly lower in the BH group compared to the AH group (P = 0.039). We observed a trend towards lower survival rates at 1, 5, and 10 years in the BH group (77%, 54%, and 41%) compared to those of the AH group (86%, 75%, and 72%, P = 0.062). Multivariate Cox hazard model analysis revealed preoperative heart rhythm (P = 0.014, odds ratio [OR] = 2.296) and EuroSCORE (P = 0.022, OR = 1.049) as independent risk factors for mortality after isolated TV surgery.The superiority of BH surgery over AG surgery was not proven. Surgical intervention should be considered early, since patients with elevated EuroSCORES and arrhythmia have significantly higher mortality rates.

show abstract

Section: Discussionsupporting

confidence: 91%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Beating Heart Versus Arrested Heart Isolated Tricuspid Valve Surgery

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Capoun et al reported in their series of 13 patients with isolated TV endocarditis that actuarial survival was only 63.1% at 3 years and 50.4% at 5 years after surgery. 9 In the present study, all 3 patients who died early postoperatively had renal impairment and right heart failure and 2 of them also had reduced left ventricular function. We also found that older age, high EuroSCORE and positive blood culture for S. aureus were risk factors for mortality.…”

Section: Discussionsupporting

confidence: 46%

Surgical Treatment for Isolated Tricuspid Valve Endocarditis

Baraki

Saito

Ahmad

et al. 2013

Circ J

View full text Add to dashboard Cite

“…Surgical management of isolated tricuspid valve endocarditis is a controversial topic. There are several reports on surgical outcomes, but few comparing surgery with medical treatment alone. A recent six‐year observational study of tricuspid valve endocarditis found surgical intervention to be associated with reduced long‐term mortality .…”

Section: Discussionmentioning

confidence: 99%

Surgical and Medical Management of Isolated Tricuspid Valve Infective Endocarditis in Intravenous Drug Users

et al. 2015

View full text Add to dashboard Cite

Background: Tricuspid valve (TV) infective endocarditis (IE) is a known complication of intravenous drug use (IVDU). This study assessed long-term outcomes of surgically and medically treated cases of TV IE. Methods: This was a retrospective cohort study of all cases of native TV IE treated in London, Ontario between 2008 and 2011. Outcomes for medically and surgically managed cases were assessed at two years. Outcomes related to the timing of surgery were also assessed. Results: Thirty-eight patients were included; seven received valve surgery: five repairs, two replacements. All patients had a history of IVDU. Baseline characteristics were equal in both groups. Death at two years was 43% in the surgical group and 26% in the nonsurgical group (p = 0.522). In those who received surgery within 30 days versus after 30 days from admission, death was 33% and 50%, respectively (p = 1.00). No patients received emergent surgery (within seven days of admission). Twenty-nine percent of the surgical group survived disease free versus 52% of the nonsurgical group. Survival with morbidity was mainly related to ongoing IVDU. The highest risk for mortality in both groups was ongoing IVDU. Conclusions: In IVDU-related TV IE the highest risk for mortality appears to be ongoing IVDU and persistent or recurrent endocarditis.

show abstract

Surgical treatment of tricuspid valve endocarditis: a single-centre experience

Abstract: Surgery for isolated TV endocarditis is often associated with previous intravenous drug use. The procedure can be performed with acceptable hospital morbidity and no mortality. Late mortality is high, despite the young age of the patients.

Cited by 11 publications

References 19 publications

Beating Heart Versus Arrested Heart Isolated Tricuspid Valve Surgery

Beating Heart Versus Arrested Heart Isolated Tricuspid Valve Surgery

Surgical Treatment for Isolated Tricuspid Valve Endocarditis

Surgical and Medical Management of Isolated Tricuspid Valve Infective Endocarditis in Intravenous Drug Users

Contact Info

Product

Resources

About