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DOI: 10.1055/s-0038-1627919
Repair or Replacement for Isolated Tricuspid Valve Endocarditis?
Publication History
Publication Date:
22 January 2018 (online)
Background: Isolated tricuspid valve (TV) endocarditis is a rare pathology which may have to be treated by surgical techniques. The aim of this study was to investigate, if repair or replacement is superior in terms of survival and reoperation rate.
Methods and Results: Between January 2001 and April 2017 30 patients (21 males; mean age: 44 ± 21.0 years) with isolated TV endocarditis were operated upon. 16 patients received a TV repair, 12 patients received a biological and 2 a mechanical prosthesis. Staphylococcus accounted for 70% of the infections. 30% of the patients had a history of intravenous Drug abuse, 33% presented with cardiac implants, such as pacemaker leads or a central venous line, 27% with persistent infection and in 10% an infective focus could be identified. Mean follow-up was 5.1 ± 4.5 years (100% completed). One (3%) patient died within the first 30 postoperative days. Survival at 1, 5, and 10 years was 93.3, 84.4, and 84.4% in the TV repair group compared with 92.9, 77.1, and 61.7% in the TV replacement group, respectively. Freedom from reoperation at 1, 5, and 10 years was 93.3, 93.3, and 93.3% in the TV repair group compared with 92.3, 92.3, and 76.9% in the TV replacement group. Neither survival nor freedom of reoperation was statistically significant comparing the TV repair versus TV replacement group.
Conclusion: Our data suggest that there is no significant benefit in survival and reoperation rate after TV repair compared with TV replacement in isolated TV endocarditis.