Patient outcomes following tricuspid valve replacement (TVR) surgery have greatly improved over the past two decades, according to a recent study published in The Annals of Thoracic Surgery. The study analyzed data from 250 TVR patients treated between 2000 and 2023, demonstrating notable reductions in operative mortality and severe complications.
Key Findings:
- Operative Mortality: Decreased from 8% (2000–2013) to 6% (2020–2023).
- Major Morbidity: The composite outcome of major complications dropped from 48% in the first era to 21% in the third era.
- Prolonged Ventilation: A significant reduction from 36% to 17%.
Factors Behind Improvements:
- Earlier Treatment: Patients are now referred for surgery at an earlier stage, improving the chances of better outcomes.
- Increased Surgical Experience: Surgeons have gained more expertise, optimizing patient selection and refining surgical techniques.
The study suggests that the reputation of TVR as a high-risk procedure is evolving, with modern practices and strategies leading to better outcomes.
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