{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:03:02Z","timestamp":1753876982269,"version":"3.41.2"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T00:00:00Z","timestamp":1735776000000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>There is limited consensus on the optimal strategy for surgical treatment of severe tricuspid valve pathology. At our institution, we have implemented a unique technique of using a tricuspid homograft with its supporting apparatus for partial replacement of the native tricuspid valve. We now present the long-term outcomes of these patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>We analysed a cohort of patients who underwent partial tricuspid valve replacement using tricuspid homograft. Yearly clinical and echocardiographic follow-up was performed. Fine\u2013Gray methods were used to estimate freedom from death and reoperation and reverse Kaplan\u2013Meier methods were used to calculate follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Fourteen patients were included (age range 15\u2009days to 73\u2009years). Indications included congenital anomalies (n\u2009=\u20099, 64%) and infective endocarditis (n\u2009=\u20095, 36%). The median follow-up was 17\u2009years (95% confidence interval (CI) 10\u201321\u2009years). Two patients (14%) died due to causes unrelated to the primary tricuspid valve surgery, and three (21%) underwent redo tricuspid valve operations. In the remaining cohort, seven (50%) were asymptomatic and two (14%) reported class II dyspnoea, while none had severe tricuspid regurgitation on echocardiogram. Estimated freedom from death was 93% at 10\u2009years and 83% at 15 and 20\u2009years, while estimated freedom from reoperation was 77% at 10, 15 and 20\u2009years.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Partial replacement of the tricuspid valve using tricuspid homograft tissue effectively restores the anatomical conformity of the native tricuspid valve and has durable long-term survival and freedom from severe tricuspid regurgitation in patients with congenital anomalies and infective endocarditis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivae229","type":"journal-article","created":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T17:55:02Z","timestamp":1735840502000},"source":"Crossref","is-referenced-by-count":0,"title":["Partial replacement of the tricuspid valve using cryopreserved tricuspid homograft: 20-year outcomes"],"prefix":"10.1093","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2198-7580","authenticated-orcid":false,"given":"Samad","family":"Raza","sequence":"first","affiliation":[{"name":"Division of Cardiothoracic Surgery, Heart and Lung Institute, The Prince Charles Hospital , Brisbane, QLD,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bishwo","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Heart and Lung Institute, The Prince Charles Hospital , Brisbane, QLD,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"Doig","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Heart and Lung Institute, The Prince Charles Hospital , Brisbane, QLD,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Pohlner","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Heart and Lung Institute, The Prince Charles Hospital , Brisbane, QLD,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Homayoun","family":"Jalali","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Heart and Lung Institute, The Prince Charles Hospital , Brisbane, QLD,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rishendran","family":"Naidoo","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Heart and Lung Institute, The Prince Charles Hospital , Brisbane, QLD,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,1,2]]},"reference":[{"key":"2025011021312188400_ivae229-B1","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1007\/s12055-023-01650-0","article-title":"Tricuspid valve repair and replacement for infective endocarditis","volume":"40","author":"Galeone","year":"2024","journal-title":"Indian J Thorac Cardiovasc Surg"},{"key":"2025011021312188400_ivae229-B2","doi-asserted-by":"crossref","first-page":"1703","DOI":"10.1016\/j.athoracsur.2013.05.005","article-title":"Current spectrum of surgical procedures performed for Ebstein\u2019s malformation: an analysis of The Society of Thoracic Surgeons Congenital Heart Surgery Database","volume":"96","author":"Davies","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"2025011021312188400_ivae229-B3","doi-asserted-by":"crossref","first-page":"15","DOI":"10.5090\/kjtcs.2018.51.1.15","article-title":"Outcomes of reoperative valve replacement in patients with prosthetic valve endocarditis: a 20-year experience","volume":"51","author":"Kim","year":"2018","journal-title":"Korean J Thorac Cardiovasc Surg"},{"key":"2025011021312188400_ivae229-B4","first-page":"125","article-title":"Tricuspid valve replacement using a mitral homograft. 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