{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T15:45:26Z","timestamp":1789573526748,"version":"build-2803163510"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T00:00:00Z","timestamp":1602547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Hubei Provincial Natural Science Foundation of China","award":["2017CFB647"],"award-info":[{"award-number":["2017CFB647"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p\/>\n                  <jats:p>The debate concerning the optimal choice of tricuspid position continues. We compared the long-term results of mechanical and biological prostheses in patients who underwent isolated or combined tricuspid valve replacement, at 2 major cardiac surgical centres in central China.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>From January 1999 to December 2018, 338 patients underwent tricuspid valve replacement. Patients were divided into an isolated group or a combined group according to whether their surgery was combined with a left heart valve surgery. Mechanical tricuspid valve replacement was performed in 142 patients (isolated group: 41 vs combined group: 101), and 196 patients underwent bioprosthetic tricuspid valve replacement (isolated group: 145 vs combined group: 51). Operative results, long-term survival and tricuspid valve-related events were compared.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Early mortality in the combined group was higher (n\u2009=\u20096, 4%) than that in the isolated group (n\u2009=\u20093, 2%), but no significant difference was observed between the mechanical and biological subgroups. In the isolated group, there was a higher event-free rate in the biological subgroup than in the mechanical subgroup (P\u2009=\u20090.042) and a similar result was also observed for patients without Ebstein\u2019s anomaly (P\u2009=\u20090.039). In the combined group, no significant difference was observed (P\u2009=\u20090.98). Survival rates were similar between the mechanical and biological subgroups in both the isolated (P\u2009=\u20090.54) and combined (P\u2009=\u20090.81) groups. Mechanical valves in isolated tricuspid valve replacement were more prone to valve thrombosis and bleeding.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Every decision regarding tricuspid valve prostheses should be individualized, but biological prostheses may be an optimal choice for patients, especially for patients without Ebstein\u2019s anomaly, in isolated tricuspid valve replacement.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaa273","type":"journal-article","created":{"date-parts":[[2020,7,6]],"date-time":"2020-07-06T11:06:53Z","timestamp":1594033613000},"page":"170-179","source":"Crossref","is-referenced-by-count":11,"title":["Which is the best prosthesis in an isolated or combined tricuspid valve replacement?"],"prefix":"10.1093","volume":"59","author":[{"given":"Peng","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Fuwai Central China Cardiovascular Hospital, Henan Province People\u2019s Hospital, Henan Cardiovascular Hospital and Zhengzhou University, Zhengzhou, Henan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Sheng","family":"Xia","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fuwai Central China Cardiovascular Hospital, Henan Province People\u2019s Hospital, Henan Cardiovascular Hospital and Zhengzhou University, Zhengzhou, Henan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-Hua","family":"Qiao","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Union Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Union Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adnan","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Union Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nian-Guo","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Union Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Si","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Union Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,10,13]]},"reference":[{"key":"2021010414505271300_ezaa273-B1","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1111\/jocs.12730","article-title":"Should a mechanical or biological prosthesis be used for a tricuspid valve replacement? 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