Evidence map›Paper›PMID 40674586›Full record

Observational studyEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2025

Surgical decision-making for concomitant tricuspid valve repair in minimally invasive mitral valve surgery.

Can Gollmann-Tepeköylü, Paolo Berretta, Marc Gerdisch, Giovanni D Cresce, Jörg Kempfert, Antonios Pitsis, Frank Van Praet, Mauro Rinaldi, Manuel Wilbring, Tristan Yan and 9 more

Abstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Contemporary Surgical Tricuspid Valve Repair.Journal of clinical medicine · 2026
    Review
  3. Article
  4. Article
  5. Observational
  6. The Silent Cost of Gender in Mitral Valve Surgery: A Propensity-Score Matched Analysis.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Can Gollmann-TepeköylüDepartment of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria.
Paolo BerrettaCardiac Surgery Unit, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.
Marc GerdischFranciscan Health Indianapolis, Indianapolis, IN, USA.
Giovanni D CresceDivision of Cardiac Surgery, S. Bortolo Hospital, Vicenza, Italy.
Jörg KempfertDepartment of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Berlin, Germany.
Antonios PitsisCardiac Surgery Department, European Interbalkan Medical Center, Thessaloniki, Greece.ORCID 0000-0001-5745-7886
Frank Van PraetCardiac Surgery Department, Hartcentrum OLV Aalst, Aalst, Belgium.ORCID 0000-0001-8997-0692
Mauro RinaldiCardiac Surgery Unit, University of Turin, Turin, Italy.
Manuel WilbringCenter for Minimally Invasive Cardiac Surgery, University Heart Center Dresden, Dresden, Germany.ORCID 0000-0002-3382-1142
Tristan YanDepartment of Cardiothoracic Surgery, The Royal Prince Alfred Hospital, Sydney, Australia.ORCID 0000-0002-6975-8149
Davide PaciniCardiac Surgery Department, Sant'Orsola Malpighi Hospital, University of Bologna, Bologna, Italy.ORCID 0000-0002-4298-3792
Torsten DoenstDepartment of Cardiothoracic Surgery, Jena University Hospital, Jena, Germany.ORCID 0000-0002-6411-909X
Antonio FioreHenri Mondor Hospital, University of Paris, Paris, France.
Nguyen Hoang DinhUniversity of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.
Joseph LamelasDivision of Cardiothoracic Surgery, University of Miami, Miami, FL, USA.
Pierluigi StefanoCardiac Surgery Unit, Careggi University Hospital, Firenze, Italy.
Tom C NguyenBaptist Health Miami Cardiac & Vascular Institute, Miami, FL, USA.
Nikolaos BonarosDepartment of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0002-7656-5812
Marco Di EusanioCardiac Surgery Unit, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify factors influencing the decision to omit tricuspid valve repair in patients who meet guideline criteria for tricuspid valve repair undergoing minimally invasive mitral valve surgery (MIMVS).

methodsA retrospective analysis was conducted using the MIMVS International Registry, covering 7513 patients from 17 centres in Europe USA, Asia and Australia. Of these, 1077 had an indication for tricuspid valve repair. Patients were stratified into two groups: those who underwent tricuspid valve repair (n = 910) and those who did not (n = 167). Multivariate logistic regression analysis was conducted to identify the factors associated with the decision to perform tricuspid valve repair.

resultsPatients who received tricuspid valve repair were older (72 vs 67 years, P < 0.001), more often female (53.8% vs 39.8%, P < 0.001) and had higher rates of atrial fibrillation (70.1% vs 54%, P < 0.001). Tricuspid valve repair was associated with longer ICU (48 vs 23 hours, P < 0.001) and hospital stays (11 vs 8 days, P < 0.001), but 30-day mortality was similar between groups (4.3% for tricuspid valve repair vs 1.8% for no tricuspid valve repair, P = 0.2). Patients undergoing tricuspid valve repair had higher EuroSCORE II (2.9 vs 1.6, P < 0.001). Key factors for omitting tricuspid valve repair included absence of severe tricuspid regurgitation (odds ratio [OR] 3.31 for moderate tricuspid regurgitation; OR 4.06 for mild tricuspid regurgitation), lower NYHA class (OR 0.61 for NYHA III-IV), and mitral valve disease type (OR 0.38) and institutional practices (SD 0.28).

conclusionsProphylactic indications for concomitant tricuspid valve repair in MIMVS are generally followed. Clinical and institutional factors strongly influence the decision to omit the tricuspid procedure despite guideline recommendations. Adhering to guidelines may improve outcomes by standardizing treatment choices.

Indexed as

Clinical Decision-MakingMinimally Invasive Surgical ProceduresMitral ValveTricuspid ValveTricuspid Valve InsufficiencyAgedAged, 80 and overFemaleHeart Valve DiseasesHumansMaleMiddle AgedRegistriesRetrospective StudiesConcomitant tricuspid valve repairMinimally invasive mitral valve surgeryValvular heart disease

Identifiers

PMID40674586
PMCPMC12282941

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.