{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:33:58Z","timestamp":1793378038190,"version":"4.5.0"},"reference-count":0,"publisher":"Saudi Heart Association","issue":"4","license":[{"start":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T00:00:00Z","timestamp":1641945600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of the Saudi Heart Association"],"abstract":"<jats:p>Objective To describe patient characteristics and post-operative outcomes, including early and late mortality, defined by death within 30 days and after 30 days post-surgery, respectively, as well as 20-year survival after isolated reoperative tricuspid surgery.\nMethods We retrospectively analyzed 169 patients who underwent isolated reoperative tricuspid valve surgery at our institution (between 1997 and 2000) and describe post-surgical outcomes including intraoperative, early and late mortality. All patients included completed 21 years of follow-up.\nResults The majority of our patients were females 147 (87%) with the mean age of 45.9 \u00b112.9 years. The mean body mass index (BMI, kg\/m2) was 27.4 \u00b16.0. Previous cardiac surgeries included tricuspid valve surgeries in 169 (100%) patients, with bioprosthetic valves, mechanical valves, annual rings and tricuspid repair surgeries utilized in 37 (21.9%), 21 (12.4%), 38 (22.4%) and 73 (43.2%) patients, respectively. The indication for previous tricuspid surgery was rheumatic heart disease in 154 (91.5%) patients. The most common cause of reoperative valvular surgery was tricuspid regurgitation (TR) in 139 (82.2%), with 66% of patients having severe TR. Other reasons for reoperative surgery included tricuspid stenosis 22 (13%) and dehiscence 8 (4.7%). For the redo surgery, 125 (74%) patients underwent Tricuspid Valve Replacement (TVR), 90 (53%) of whom received bioprosthetic valves while 35 (21%) received mechanical valves. Forty-four patients (26%) underwent Tricuspid Valve Repair. Mortality within 30 days of surgery was 11.3% (20 patients) and 11.4% after 30 days, with 20 years survival being about 80%.\nConclusions Based on our experience, reoperation for failed isolated tricuspid valve replacement or repair was associated with reasonable mortality and good survival rate over long period of time.<\/jats:p>","DOI":"10.37616\/2212-5043.1286","type":"journal-article","created":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T03:10:47Z","timestamp":1642043447000},"page":"366-373","source":"Crossref","is-referenced-by-count":5,"title":["Isolated reoperative tricuspid valve surgery: Outcomes and risk assessment"],"prefix":"10.37616","volume":"33","author":[{"given":"Tahir I","family":"Mohamed","sequence":"first","affiliation":[{"name":"King Faisal Specialist Hospital and Research Center-Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar J","family":"Baqal","sequence":"additional","affiliation":[{"name":"Alfaisal University College of Medicine, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulaziz A","family":"Binzaid","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital and Research Center-Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussam T","family":"AlHennawi","sequence":"additional","affiliation":[{"name":"Alfaisal University College of Medicine, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulrahman R","family":"Barakeh","sequence":"additional","affiliation":[{"name":"Alfaisal University College of Medicine, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar M","family":"Mrayati","sequence":"additional","affiliation":[{"name":"Alfaisal University College of Medicine, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aly M","family":"Alsanei","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital and Research Center-Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"24531","published-online":{"date-parts":[[2022,1,12]]},"container-title":["Journal of the Saudi Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.j-saudi-heart.com\/cgi\/viewcontent.cgi?article=1286&amp;context=jsha","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T15:40:00Z","timestamp":1793374800000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.j-saudi-heart.com\/jsha\/vol33\/iss4\/19"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,12]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,1,12]]}},"URL":"https:\/\/doi.org\/10.37616\/2212-5043.1286","relation":{},"ISSN":["2212-5043"],"issn-type":[{"value":"2212-5043","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,12]]}}}