{"id":3582,"date":"2023-09-06T01:22:05","date_gmt":"2023-09-06T01:22:05","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/learning\/?page_id=3582"},"modified":"2023-09-06T15:12:23","modified_gmt":"2023-09-06T15:12:23","slug":"mitral-and-tricuspid-repair-survival-outcomes","status":"publish","type":"page","link":"https:\/\/www.heart-valve-surgery.com\/learning\/mitral-and-tricuspid-repair-survival-outcomes\/","title":{"rendered":"Surgeon Q&#038;A: Mitral and Tricuspid Valve Repair Survival, Durability &#038; Outcomes"},"content":{"rendered":"<p>I just received an excellent patient question from Alexandra about the survival and durability rates for mitral and tricuspid valve repair. In her email, Alexandra asks, \u201cHi, Adam\u2014All the data I\u2019ve seen measures outcomes for mitral valve repair alone. Have you seen any data on survival and durability rates for patients undergoing mitral and tricuspid valve repair surgery?\u201d<\/p>\n<p>To answer Alexandra\u2019s question, I was lucky to connect with <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Robert-Smith+II-Plano-Texas.php\">Dr. Robert Smith<\/a>, Chair of Cardiac Surgery at Baylor Scott &amp; White\u2013The Heart Hospital in Plano, Texas, at the Mitral Conclave in New York City. Dr. Smith is a minimally-invasive specialist who has performed thousands of heart valve surgeries, including combined mitral and tricuspid valve repair.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/ipUVrjqLCWg?si=3p05coT3-NdR-MZf?rel=0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<h2>Key Learnings About Mitral &amp; Tricuspid Valve Surgery<\/h2>\n<p>A great question without a simple answer:<\/p>\n<ul>\n<li>Dr. Smith quickly apologized because Alexandra\u2019s question was difficult to answer. Many different factors are involved when repairing the mitral and tricuspid valves together. \u201cThe first part about this is we\u2019ve now taken a simple isolated mitral valve surgery, which is not so simple, and now we\u2019ve confounded it with this other piece, tricuspid valve surgery,\u201d said Dr. Smith. The outcome and expectation, according to Dr. Smith, depend on several factors, including the amount of tricuspid valve regurgitation, how large and dilated the valve is, and the degree of tricuspid valve insufficiency. \u201cIt really depends on your particular issue. Which one of those pieces you had, how did you originally present, what was the treatment, and what was the result? That gives us a lot more to talk about on the expectation.\u201d<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Robert-Smith+II-Plano-Texas.php\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/profileImages\/335_129_141.jpg\" alt=\"Dr. Robert Smith\" width=\"129\" height=\"141\" \/><\/a><a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Robert-Smith+II-Plano-Texas.php\">Dr. Robert Smith<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>The mitral valve\u2019s role, regurgitation, and risk of recurrence<\/p>\n<ul>\n<li>The most important factor to consider is degenerative mitral valve disease. \u201cIt\u2019s not the tricuspid valve,\u201d Dr. Smith told us. \u201cIn fact, in most of those instances, we think the tricuspid valve is really a consequence of the original problem, which is the mitral valve.\u201d<\/li>\n<li>A successful mitral valve repair is only the first piece. Next, Dr. Smith looks at the severity of regurgitation and how it plays into the risk of recurrence. \u201cThe risk of recurrence is anywhere from about 2% to 50%. Why so big? Because one, we don\u2019t know all the factors behind why it reoccurs,\u201d Dr. Smith told us. Atrial fibrillation is a major risk factor for recurrence, and if successfully treated, it will reduce that risk significantly. \u201cIf you have hypertension and other downstream problems, it increases the risk of recurrence over time.\u201d<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-3616 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/risk-recurrence-mitral-tricuspid-valve-surgery.jpg\" alt=\"Recurrence Risk Mitral &amp; Tricuspid Valve\" width=\"650\" height=\"366\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>Tricuspid valve data is evolving<\/p>\n<ul>\n<li>Dr. Smith admits there isn\u2019t a lot of data on tricuspid valve repair because it\u2019s a newer surgery than the mitral valve. He told us, \u201cWe\u2019re learning and trying to get all the information we possibly can, and I don\u2019t have all the specific answers yet. Is there a risk of mortality with any of these things as far as if they recur? Yes, there is. Are you dramatically at an improved chance for a very long, happy, healthy lifestyle when you have surgery to address your mitral valve disease? Absolutely!\u201d<\/li>\n<li>Dr. Smith assured Alexandra and patients everywhere that they continue to work at answering these types of questions and are setting up the stages for clinical trials in the near future.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Thanks Dr. Smith and Baylor Scott &amp; White &#8211; The Heart Hospital Plano!<\/h2>\n<p>On behalf of our patient community, many thanks to Dr. Robert Smith for sharing his knowledge and insights about mitral and tricuspid valve durability. Also, we want to thank Baylor Scott &amp; White-The Heart Hospital in Plano, Texas, for continuing to take great care of our heart valve patients!<\/p>\n<p>Related Links:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Robert-Smith+II-Plano-Texas.php\">See Dr. Smith\u2019s Profile on HeartValveSurgery.com<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/robotic-mitral-valve-replacement-epic\/\">Robotic Mitral Valve Replacement: What Should Patients Know?<\/a><\/li>\n<\/ul>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n<p>P.S. For the deaf and hard of hearing members of our community, I have provided a written transcript of this interview below.<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"cms.php","meta":{"_acf_changed":false,"footnotes":""},"categories":[13],"class_list":["post-3582","page","type-page","status-publish","hentry","category-mitral-valve-repair"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/3582","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/comments?post=3582"}],"version-history":[{"count":13,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/3582\/revisions"}],"predecessor-version":[{"id":3624,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/3582\/revisions\/3624"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/media?parent=3582"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/categories?post=3582"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}