Risk stratification for surgery in tricuspid regurgitation

Prog Cardiovasc Dis. 2019 Nov-Dec;62(6):500-504. doi: 10.1016/j.pcad.2019.11.015. Epub 2019 Dec 5.

Abstract

Tricuspid valve (TV) surgery carries high mortality and morbidity, and risk-adjusted mortality has not changed. Patients who can withstand the perioperative period benefit from symptomatic improvement as the right ventricle remodels. Risk stratification for patients undergoing surgical intervention is critically important. The Model for End-Stage Liver Disease (MELD) score is a reliable and accurate mortality risk predictor given the liver and kidney dysfunction that accompany tricuspid regurgitation. Novel clinical risk calculators for isolated TV surgery have also been developed to further guide patients with projected surgical outcomes and reinforce timeliness to intervention.

Keywords: Clinical risk score; Surgical risk stratification; Tricuspid regurgitation; Tricuspid valve surgery.

Publication types

  • Review

MeSH terms

  • Heart Valve Prosthesis Implantation* / adverse effects
  • Heart Valve Prosthesis Implantation* / methods
  • Heart Valve Prosthesis Implantation* / mortality
  • Heart Ventricles* / pathology
  • Heart Ventricles* / physiopathology
  • Humans
  • Risk Adjustment
  • Risk Assessment / methods*
  • Tricuspid Valve / surgery*
  • Tricuspid Valve Insufficiency* / diagnosis
  • Tricuspid Valve Insufficiency* / mortality
  • Tricuspid Valve Insufficiency* / physiopathology
  • Tricuspid Valve Insufficiency* / surgery
  • Ventricular Remodeling