OBJECTIVES: We have reviewed 260 @entity1 who underwent initial tricuspid valve surgery for functional @entity997 ( @entity997 ) and analyzed independent predictors for early and late unfavorable results. MATERIALS AND METHODS: Between 1981 and 1998, 260 tricuspid valve operations were performed for functional @entity997 . There were 94 males and 166 females with a mean age of 55 years. The tricuspid valve surgery procedures consisted of De Vega tricuspid annuloplasty in 240 @entity1 , ring annuloplasty in four @entity1 , and tricuspid valve replacement in 16 @entity1 . The mean duration of follow-up was 7.8 years. RESULTS: Hospital mortality was 8.9% (23 @entity1 ). Late deaths occurred in 34 @entity1 including cardiac-related late deaths in 26 @entity1 . The survival rates were 83+/-2% at 5 years and 78+/-3% at 10 years. Late tricuspid valve reoperation was performed on 13 @entity1 due to residual or recurrent @entity997 in 12 @entity1 and thrombosed tricuspid bileaflet mechanical valve in one @entity1 . The tricuspid valve reoperation-free survival rate was 90+/-2% at 5 years and 84+/-3% at 10 years. The only predictor of hospital mortality was preoperative highly elevated right atrial pressure (P=0.01). Variables predictive of cardiac-related late @entity204 were preoperative New York Heart Association (NYHA) class IV (P=0.01) and poor left ventricular ejection fraction (LVEF) (P=0.02). Residual @entity997 of more than grade 2+ early after tricuspid annuloplasty was a significant risk factor for late tricuspid valve reoperation (P=0.01). Preoperative @entity997 of grade 4+ was predictive of early residual @entity997 (P=0.04). CONCLUSIONS: Tricuspid valve surgery for functional @entity997 can be performed with acceptable levels of early mortality. Cardiac-related late mortality after tricuspid surgery may be improved by earlier surgical treatment before NYHA class IV or deterioration of LVEF occurs. To prevent late tricuspid reoperation, it is important not to leave residual @entity997 of grade 2+ or more after tricuspid annuloplasty.

Tricuspid valve surgery for functional XXXX associated with left-sided valvular disease.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity997 :: ('MESH:D014262', 'Disease') :: ['TR', 'tricuspid valve regurgitation'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity997 :: (MESH:D014262,Disease) :: ['tricuspid valve regurgitation']
