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September 4, 2026Journal of Cardiovascular Development and DiseaseOpen Access

Concomitant TVR during redo MVR is not associated with major adverse postoperative events.

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Why the study?

Does concomitant tricuspid valve repair increase major adverse postoperative events in patients undergoing redo mitral valve replacement compared to isolated redo mitral valve replacement?

Population

249 consecutive patients undergoing redo mitral valve replacement between 2019 and 2025.

Comparison

Redo mitral valve replacement with concomitant… vs Isolated redo mitral valve replacement

Design

Cohort

Key result

Concomitant tricuspid valve repair during redo mitral valve replacement was not independently associated with major adverse postoperative events, which occurred in 122 of 249 patients overall.

Authors

BTBarış TimurZAZinar Apaydın

Discussion

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Overview

Concomitant tricuspid valve repair during redo mitral valve replacement does not independently increase the risk of major adverse postoperative events, suggesting it can be safely performed when indicated without adding prohibitive risk.

Key Points

  • To evaluate whether concomitant tricuspid valve repair independently increases major adverse postoperative events following redo mitral valve replacement.
  • Retrospectively analyzed 249 consecutive patients undergoing redo mitral valve replacement between 2019 and 2025.
  • Compared isolated redo mitral valve replacement (n=134) with redo mitral valve replacement plus concomitant tricuspid valve repair (n=115).
  • Assessed a primary composite endpoint of major adverse postoperative events including early mortality, acute kidney injury, stroke, prolonged ventilation, reoperation, infection, mechanical circulatory support, and pacemaker placement.
  • Major adverse postoperative events occurred in 122 of 249 patients, with similar early mortality observed between groups.
  • Concomitant tricuspid valve repair was not independently associated with major adverse postoperative events on univariable or multivariable analysis.
  • Independent risk factors for major adverse events included advanced age, smoking history, lower left ventricular ejection fraction, and longer cardiopulmonary bypass time.

Study Design

Type

Cohort (n=249)

Structured PICO

Does concomitant tricuspid valve repair increase major adverse postoperative events in patients undergoing redo mitral valve replacement compared to isolated redo mitral valve replacement?

P
Population
249 consecutive patients undergoing redo mitral valve replacement between 2019 and 2025.
E
Exposure
Redo mitral valve replacement with concomitant tricuspid valve repair
C
Comparator
Isolated redo mitral valve replacement
O
Outcome
Major adverse postoperative events (composite of early mortality, acute kidney injury, cerebrovascular event, prolonged ventilation, reoperation, deep sternal infection, mechanical circulatory support, or permanent pacemaker implantation)composite

Concomitant tricuspid valve repair during redo mitral valve replacement does not independently increase the risk of major adverse postoperative events, suggesting it can be safely performed when indicated without adding prohibitive risk.

Cite This Study

Timur et al. (2026) conducted a cohort in Redo mitral valve replacement (n=249). Concomitant tricuspid valve repair vs. Isolated redo mitral valve replacement was evaluated on Major adverse postoperative events (early mortality, acute kidney injury, cerebrovascular event, prolonged ventilation, reoperation, deep sternal infection, mechanical circulatory support, or permanent pacemaker implantation). Concomitant tricuspid valve repair during redo mitral valve replacement was not independently associated with major adverse postoperative events, which occurred in 122 of 249 patients overall.

synapsesocial.com/papers/6a9a85d25d9e33f25c631303https://doi.org/10.3390/jcdd13090431
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Minithoracotomy Approach for Redo Mitral Valve Surgery: Feasibility, Operative Outcomes and Comparative Analysis of Myocardial Protection Techniques2026
  2. 2Midterm outcomes of rheumatic mitral valve repair versus replacement in a dual-centre retrospective study2025 · 1 citations
  3. 3Short Term Outcome & Surgical Risk of Patients Undergoing Mitral Valve Repair vs Replacement in Severe Ischemic Mitral Regurgitation2025
  4. 4The impact of comorbidities on surgical outcome and mortality in minimally invasive mitral valve surgery: a systematic review2025 · 2 citations
  5. 5Repeated Transcatheter Edge-to-Edge Repair Procedure of the Tricuspid Valve in a Patient with Mitral Valve Replacement.2025