Mechanical Valves Preferable for Tricuspid Valve Replacement: Presented at STS
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Mechanical Valves Preferable for Tricuspid Valve Replacement: Presented at STS

By Charlene Laino

FORT LAUDERDALE, Fla -- January 27, 2010 -- Mechanical valves may be preferable to tissue valves in patients with acquired heart disease undergoing tricuspid valve replacement, researchers reported here on January 26 at the Society of Thoracic Surgeons (STS) 46th Annual Meeting.

In a retrospective review of patients undergoing tricuspid valve replacement, “those who received tissue valves had much worse survival,” said Yang Bin Jeon, MD, Department of Thoracic and Cardiac Surgery, Gachon University, Gil Hospital, Incheon, South Korea.

Although tricuspid valve replacement is becoming more frequent, there are few data to guide the choice of prosthetic valves, Dr. Jeon said.

The researchers reviewed data on 275 patients with acquired heart disease who underwent tricuspid valve replacement from 1997 to 2007 at the Mayo Clinic in Rochester, Minnesota. The mean age of the patients was 66 years and 63% were female.

Of the total, 67 patients (24.4%) received mechanical valves, and the majority (68.4%) had prior cardiac surgery. Other cardiac procedures were performed concomitantly with tricuspid valve replacement in 82.2% of the patients.

In a multivariate analysis, patients who received tissue valves were 2.55 times more likely to die than those who received mechanical valves (P = .015).

Having an urgent operation (P = .003) and male gender (P = .017) both doubled the mortality risk, Dr. Jeon reported.

Further analysis comparing propensity-matched groups of 50 patients each confirmed that survival was significantly worse in the tissue valve group (P = .034), Dr. Jeon said.

[Presentation title: Risk Factors Associated With Increased Mortality Following Tricuspid Valve Replacement: Mechanical Over Tissue Valves? Abstract 28]

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