Surgical Intervention for Isolated Tricuspid Valve Endocarditis-Refining Patients' Selection.

Ali Hage, Rami Abazid, Fadi Hage, Shevan Bladia, Linrui Guo, Nikolaos Tzemos

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Article in Avicenna journal of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Ali HageDivision of Cardiac Surgery, Department of Surgery, London Health Sciences Centre, Western University, London, Ontario, Canada.

Rami AbazidDepartment of Medicine, Northern Ontario Medical School University, Sault Ste Marie, Ontario, Canada.ORCID 0000-0002-8504-1930

Fadi HageDivision of Cardiac Surgery, Department of Surgery, London Health Sciences Centre, Western University, London, Ontario, Canada.

Shevan BladiaCollege of Health Sciences, Western University, London, Ontario, Canada.

Linrui GuoDivision of Cardiac Surgery, Department of Surgery, London Health Sciences Centre, Western University, London, Ontario, Canada.

Nikolaos TzemosDivision of Cardiology, Department of Medicine, London Health Sciences Centre, Western University, London, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In this study, we analyzed various clinical and imaging factors of patients with isolated tricuspid valve infective endocarditis (TVIE) who have undergone surgical intervention, and assessed short- and long-term outcomes after surgery. Methods: We retrospectively enrolled 26 patients diagnosed with definite isolated TVIE and underwent surgical intervention between February 2004 and August 2019. We collected patients' demographics, preoperative and postoperative data. The primary outcomes were death and a composite of the following: death, readmission with right-sided heart failure, or recurrent endocarditis. Results: A total of 29 isolated tricuspid valve surgical interventions were performed on 26 patients. The mean age was 38.6 ± 12.3 years. In total, 22/29 (75.8%) of TVIE were related to Conclusion: In our institution, surgical intervention for isolated TVIE has a mortality rate of 34.6%. Men, a history of IVDU, lower preoperative hemoglobin levels, and reduced LVEF were significant predictors of postsurgical mortality. Earlier surgical intervention for TVIE before the development of anemia or impaired LV systolic function may have a potential survival benefit.

Indexed as

infective endocarditistricuspid regurgitationtricuspid valve

Identifiers

PMID40546900

DOI10.1055/s-0045-1808059

PMCPMC12178669

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