{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T06:59:39Z","timestamp":1792652379147,"version":"4.5.0"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Concomitant use of tricuspid valve (TV) surgery and minimally invasive mitral valve (MV) repair is debatable due to a prolonged time of surgery with presumably elevated operative risk. Herein, we examined cardiopulmonary bypass times and 30-day mortality in patients who underwent MV repair with and without concomitant TV surgery.<\/jats:p><jats:p>\n          Methods\u2003We retrospectively evaluated 3,962 patients with MV regurgitation who underwent minimally invasive MV repair without (n\u2009=\u20093,463; MVr group) and with (n\u2009=\u2009499; MVr\u2009+\u2009TVr group) concomitant TV surgery between 1999 and 2014. Preoperative parameters between the groups were significantly different; therefore, propensity score matching was performed.<\/jats:p><jats:p>\n          Results\u2003Mean cardiopulmonary bypass time for all patients was 125.5\u2009\u00b1\u200955.8\u2009minutes in MVr and 162.0\u2009\u00b1\u200958.0\u2009minutes in MVr\u2009+\u2009TVr (p\u2009&lt;\u20090.001). Overall 30-day mortality was significantly different between these groups (4.8 vs. 2.1%; p\u2009&lt;\u20090.001); however, after adjustment, there was no significant difference (3.3 vs. 1.2%; p\u2009=\u20090.07). Backward logistic regression revealed that cardiopulmonary bypass time was not a significant predictor for early mortality within the MVr\u2009+\u2009TVr cohort.<\/jats:p><jats:p>\n          Conclusion\u2003Concomitant TV repair using prosthetic rings through a minimally invasive approach is safe and does not lead to elevated early mortality in our patient cohort. Therefore, prolonged cardiopulmonary bypass time should not be the sole reason to rule out MV repair with concomitant TV repair and to prefer the use of suture techniques, which saves only a few minutes compared with prosthetic ring implantation.<\/jats:p>","DOI":"10.1055\/s-0039-1700506","type":"journal-article","created":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:46:23Z","timestamp":1577839583000},"page":"486-491","source":"Crossref","is-referenced-by-count":12,"title":["Concomitant Tricuspid Valve Repair during Minimally Invasive Mitral Valve Repair"],"prefix":"10.1055","volume":"68","author":[{"given":"Bettina","family":"Pfannmueller","sequence":"additional","affiliation":[{"name":"Department of Heart Surgery, Leipzig Heart Centre, Leipzig University Hospital, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Misfeld","sequence":"additional","affiliation":[{"name":"Department of Heart Surgery, Leipzig Heart Centre, Leipzig University Hospital, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piroze","family":"Davierwala","sequence":"additional","affiliation":[{"name":"Department of Heart Surgery, Leipzig Heart Centre, Leipzig University Hospital, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Weiss","sequence":"additional","affiliation":[{"name":"Leipzig Heart Institute GmbH, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Andrew","family":"Borger","sequence":"additional","affiliation":[{"name":"Department of Heart Surgery, Leipzig Heart Centre, Leipzig University Hospital, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,12,31]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1093\/ejcts\/ezx324","article-title":"2017 ESC\/EACTS Guidelines for the management of valvular heart disease","volume":"52","author":"V Falk","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"262","DOI":"10.21037\/acs.2017.05.04","article-title":"Posterior suture annuloplasty for functional tricuspid regurgitation","volume":"6","author":"V Tchantchaleishvili","year":"2017","journal-title":"Ann Cardiothorac Surg"},{"issue":"03","key":"ref3","first-page":"167","article-title":"Guidelines on the management of valvular heart disease (version 2012): the Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"14","author":"A Vahanian","year":"2013","journal-title":"G Ital Cardiol (Rome)"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/j.ejcts.2008.01.013","article-title":"Early and mid-term results of mitral valve repair using premeasured Gore-Tex loops (\u2018loop technique\u2019)","volume":"33","author":"T Kuntze","year":"2008","journal-title":"Eur J Cardiothorac Surg"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1016\/j.ejcts.2008.05.015","article-title":"Minimal invasive mitral valve repair for mitral regurgitation: results of 1339 consecutive patients","volume":"34","author":"J Seeburger","year":"2008","journal-title":"Eur J Cardiothorac Surg"},{"issue":"02","key":"ref6","first-page":"189","article-title":"Minimally invasive isolated tricuspid valve surgery","volume":"19","author":"J Seeburger","year":"2010","journal-title":"J Heart Valve Dis"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/S0022-5223(98)70320-4","article-title":"Minimally invasive port-access mitral valve surgery","volume":"115","author":"F W Mohr","year":"1998","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"1218","DOI":"10.1016\/j.athoracsur.2012.05.020","article-title":"Postoperative outcome of isolated tricuspid valve operation using arrested-heart or beating-heart technique","volume":"94","author":"B Pfannm\u00fcller","year":"2012","journal-title":"Ann Thorac Surg"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.athoracsur.2004.06.057","article-title":"Secondary tricuspid regurgitation or dilatation: which should be the criteria for surgical repair?","volume":"79","author":"G D Dreyfus","year":"2005","journal-title":"Ann Thorac Surg"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1016\/j.jtcvs.2010.05.050","article-title":"Tricuspid annuloplasty prevents right ventricular dilatation and progression of tricuspid regurgitation in patients with tricuspid annular dilatation undergoing mitral valve repair","volume":"141","author":"N R Van de Veire","year":"2011","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1053\/j.semtcvs.2010.05.002","article-title":"Surgical strategies for functional tricuspid regurgitation","volume":"22","author":"J Chikwe","year":"2010","journal-title":"Semin Thorac Cardiovasc Surg"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1055\/s-0033-1333844","article-title":"Role of tricuspid valve repair for moderate tricuspid regurgitation during minimally invasive mitral valve surgery","volume":"61","author":"B Pfannmueller","year":"2013","journal-title":"Thorac Cardiovasc Surg"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1016\/j.jtcvs.2003.11.019","article-title":"Tricuspid valve repair: durability and risk factors for failure","volume":"127","author":"P M McCarthy","year":"2004","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"06","key":"ref14","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1016\/j.jtcvs.2010.02.046","article-title":"Surgical management of secondary tricuspid valve regurgitation: annulus, commissure, or leaflet procedure?","volume":"139","author":"J L Navia","year":"2010","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["The Thoracic and Cardiovascular 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