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Fırat University Medical Journal of Health Sciences
2025, Cilt 39, Sayı 3, Sayfa(lar) 234-239
[ Turkish ] [ Tam Metin ] [ PDF ]
Isolated Tricuspid Valve Surgery: A Single-Center Retrospective Analysis
Mehmet Ali YÜRÜK, Ahmet Coşkun ÖZDEMİR
Karadeniz Teknik University, Faculty of Medicine, Department of Cardiovascular Surgery Trabzon, TÜRKİYE
Keywords: Tricuspid regurgitation, isolated tricuspid surgery, right heart, annuloplasty, mortality

Objective: This study aims to evaluate the early and mid-term clinical and echocardiographic outcomes of patients who underwent isolated tricuspid valve surgery.

Materials and Methods: Patients who underwent isolated tricuspid valve surgery at our center between 2020 and 2024 were retrospectively analyzed. Results of preoperative, postoperative, 1st-month, and 1st-year were shared and compared. Demographic characteristics, operative details, early postoperative complications, and echocardiographic parameters were assessed.

Results: A total of 11 patients were included in the study, with a mean age of 65 (37-75) years and most of the patients were female (63.60%). Ring annuloplasty was performed in 63.60% of the cases, and valve replacement in 36.40%. The hospital mortality rate was 9.10%. Follow-up findings revealed: A significant decrease in pulmonary artery pressure was 42.73±12.52 mmHg to 30.5±9.26 mmHg (p=0.048). Also, marked improvement in NYHA functional class was 4 to 1.4 (p<0.001). Significant reductions were seen in right atrial and right ventricular diameters (p<0.001 and p=0.035, respectively).

Conclusion: Isolated tricuspid valve surgery provides successful outcomes with low morbidity and mortality in appropriately selected patients. Postoperative improvements in hemodynamic parameters and symptomatic status were observed. Therefore, timely surgical intervention should be considered in symptomatic patients.


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