{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T21:34:33Z","timestamp":1786397673287,"version":"build-2736575974"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2019,3,28]],"date-time":"2019-03-28T00:00:00Z","timestamp":1553731200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"IRCCS Policlinico San Donato"},{"name":"Italian Ministry of Health"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p\/><jats:sec><jats:title>OBJECTIVES:<\/jats:title><jats:p>Tricuspid valve (TV) surgery in the adult with congenital heart disease (ACHD) is a frequently performed procedure. The aim of this study was to analyse postoperative and medium-term outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS:<\/jats:title><jats:p>We conducted a single-centre retrospective study of patients with ACHD who underwent TV surgery (January 2000\u2013December 2016); patients with Ebstein\u2019s anomalies were excluded. Operative and clinical records were reviewed. Outcomes considered were survival, grade of insufficiency\/stenosis and TV reoperation at follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>A total of 128 patients with ACHD had TV surgery for functional regurgitation (n\u2009=\u200995), dysplasia (n\u2009=\u200923) and systemic TV (n\u2009=\u200910). Median age was 40.8\u2009years [interquartile range (IQR) 25.3]; 55.5% were men. Preoperative regurgitation was classified as mild (n\u2009=\u20098), moderate (n\u2009=\u200947) and severe (n\u2009=\u200970). The TV was repaired in 109 as follows: ring annuloplasty (n\u2009=\u200943), de Vega annuloplasty (n\u2009=\u200929), Wooler annuloplasty (n\u2009=\u200913), commissural plasty (n\u2009=\u20099), Kay annuloplasty (n\u2009=\u20097) and others (n\u2009=\u20098). The TV was replaced in 19 patients with biological (n\u2009=\u200910) and mechanical (n\u2009=\u20099) prostheses. The median hospital stay was 12\u2009days (IQR 10). The overall mortality rate was 8.6% (n\u2009=\u200911): 2 hospital deaths (1.6%) and 9 late deaths. Survival was 93% [95% confidence interval (CI) 85\u201397%] at 5\u2009years and 83% (95% CI 70\u201391%) at 10\u2009years. The median follow-up period was 4.95\u2009years (IQR 7.7) with 1 TV reoperation. Echocardiographic assessment showed \u2265moderate regurgitation in 34 (34.3%) patients. Suture plasty had a significantly higher incidence of TV regurgitation \u2265moderate compared to ring annuloplasty (48.9% vs 26.3%; P\u2009=\u20090.033).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS:<\/jats:title><jats:p>TV surgery in the ACHD is frequently associated with other main procedures. Stabilizing the TV annulus with a prosthetic ring guarantees lower recurrence of moderate to severe regurgitation compared to suture plasty repair.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ejcts\/ezz093","type":"journal-article","created":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T20:13:33Z","timestamp":1551471213000},"page":"706-713","source":"Crossref","is-referenced-by-count":10,"title":["Results for tricuspid valve surgery in adults with congenital heart disease other than Ebstein\u2019s anomaly\u2020"],"prefix":"10.1093","volume":"56","author":[{"given":"Mauro","family":"Lo Rito","sequence":"first","affiliation":[{"name":"Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Grandinetti","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Muzio","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Varrica","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Frigiola","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Micheletti","sequence":"additional","affiliation":[{"name":"Pediatric and Adult Congenital Cardiology, IRCCS Policlinico San Donato, San Donato Milanese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Chessa","sequence":"additional","affiliation":[{"name":"Pediatric and Adult Congenital Cardiology, IRCCS Policlinico San Donato, San Donato Milanese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Giamberti","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,3,28]]},"reference":[{"key":"2019091904513446300_ezz093-B1","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/j.jtcvs.2013.08.034","article-title":"Management of tricuspid regurgitation in congenital heart disease: is survival better with valve repair?","volume":"147","author":"Said","year":"2014","journal-title":"J Thorac Cardiovasc 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