{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T05:43:48Z","timestamp":1750052628517,"version":"3.37.3"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T00:00:00Z","timestamp":1557187200000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"University Heart Center Freiburg \u00b7 Bad Krozingen"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>To evaluate outcome of concomitant tricuspid annuloplasty in mild or moderate regurgitation on perioperative outcome and on right ventricular function in patients undergoing major cardiac surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Among 14\u00a0500 patients who underwent cardiac surgery at our institution between January 2000 and April 2016, 1023 patients had a documented history of tricuspid regurgitation (TR). Of those patients, 324 patients were diagnosed with mild or moderate secondary TR with a dilated annulus (\u226540\u2009mm or &gt;21\u2009mm\/m2) and composed the study population. The decision to perform concomitant annuloplasty was subjected to the individual decision of the treating surgeon. Our analysis focused on a comparison between patients with concomitant TR-repair (group 1, n\u2009=\u2009184) and patients without concomitant TR-repair (group 2, n\u2009=\u2009140) after propensity score matching.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Following a preliminary data preprocessing, we observed a mean age of 73.8\u2009years, mean logistic EuroSCORE of 10.5%. Perioperative mortality was 4.4% in group 1 and 5.7% in group 2. There was no significant difference in mid-term mortality. TR after surgery was significantly higher in group 2. After propensity score matching regression analysis, patients who had a repaired tricuspid valve (group 1) had better right ventricle (RV) function than those without TR-repair (group 2) (P\u2009&gt;\u20090.05 at 95% confidence interval following Kolmogorov\u2013Smirnov Goodness of fit Test).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Adding tricuspid valve repair in patients with mild or moderate secondary TR with a dilated annulus (\u226540\u2009mm or &gt;21\u2009mm\/m2) to standard open heart surgery does not increase perioperative risk but improves right ventricular function. Therefore, standard tricuspid repair in this subgroup might be considered on a routine basis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivz106","type":"journal-article","created":{"date-parts":[[2019,4,11]],"date-time":"2019-04-11T15:34:14Z","timestamp":1554996854000},"page":"416-421","source":"Crossref","is-referenced-by-count":3,"title":["Adding tricuspid repair to standard open heart surgery does not increase risk but improves right ventricular function"],"prefix":"10.1093","volume":"29","author":[{"given":"Clarence","family":"Pingpoh","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg \u00b7 Bad Krozingen, Bad Krozingen, Germany"},{"name":"Medical Faculty, Albert-Ludwigs-University Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0982-4861","authenticated-orcid":false,"given":"Sarah","family":"Nuss","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg \u00b7 Bad Krozingen, Bad Krozingen, Germany"},{"name":"Medical Faculty, Albert-Ludwigs-University Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1019-1432","authenticated-orcid":false,"given":"Sami","family":"Kueri","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg \u00b7 Bad Krozingen, Bad Krozingen, Germany"},{"name":"Medical Faculty, Albert-Ludwigs-University Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximillian","family":"Kreibich","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg \u00b7 Bad Krozingen, Bad Krozingen, Germany"},{"name":"Medical Faculty, Albert-Ludwigs-University Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Czerny","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg \u00b7 Bad Krozingen, Bad Krozingen, Germany"},{"name":"Medical Faculty, Albert-Ludwigs-University Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friedhelm","family":"Beyersdorf","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg \u00b7 Bad Krozingen, Bad Krozingen, Germany"},{"name":"Medical Faculty, Albert-Ludwigs-University Freiburg, Freiburg, 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