Redo isolated tricuspid valve surgery: prediction of in-hospital mortality using the TRI-SCORE - Université de Picardie Jules Verne Accéder directement au contenu
Article Dans Une Revue European Heart Journal Année : 2022

Redo isolated tricuspid valve surgery: prediction of in-hospital mortality using the TRI-SCORE

Résumé

Background Redo isolated tricuspid valve surgery (ITVS) is rarely performed. The TRI-SCORE reliably predicts in-hospital mortality after ITVS on native valve but has not been tested in the setting of redo interventions. Purpose We aimed to compare the predictive value of the TRI-SCORE to other surgical risk scores for redo ITVS. Methods Using a mandatory administrative database, we identified all consecutive adult patients who underwent a redo ITVS at 12 French tertiary centers between 2007 and 2017. Baseline characteristics and outcomes were collected from chart review and the TRI-SCORE, Logistic EuroSCORE, EuroSCORE II and STS were calculated. Results We identified 70 patients who underwent a redo ITVS (mean age 54±15 years, 63% female). Prior intervention was a repair in 51% and a replacement in 49%. A tricuspid valve replacement was performed in all patients. In-hospital mortality was 10%. The TRI-SCORE was the only risk score associated with in-hospital mortality (p=0.01). Area under the receiver operating characteristic curve for the TRI-SCORE was 0.83, much higher than with logistic EuroSCORE (0.58), EuroSCORE II (0.61) or STS (0.59). The table presents the observed and predicted values of in-hospital mortality according to TRI-SCORE categories. Conclusion The TRI-SCORE accurately predicted in-hospital mortality after redo isolated tricuspid valve surgery and may guide the clinical decision-making process especially as transcatheter therapies are emerging. Funding Acknowledgement Type of funding sources: None.

Dates et versions

hal-04021042 , version 1 (09-03-2023)

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Citer

J Dreyfus, Y. Bohbot, A Coisne, Y Lavie-Badie, E Riant, et al.. Redo isolated tricuspid valve surgery: prediction of in-hospital mortality using the TRI-SCORE. European Heart Journal, 2022, 43 (Supplement_2), ⟨10.1093/eurheartj/ehac544.1600⟩. ⟨hal-04021042⟩
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