In this issue of Heart, Lung and Circulation, Cheng et al. report an elegant analysis of triple valve surgery (TVS) outcomes in
New South Wales, Australia [
[1]
]. Congratulations to the authors for analysing a unique set of data on this rare
triple valve procedure in Australia. They concluded that TVS—defined as concomitant
aortic, mitral and triscuspid valve surgery—is lifesaving for patients with universally
premorbid multivalvular heart disease. Their analyses also highlighted increasing
annual case volumes in Australia, predicting this trend to continue. The noted improvements
in TVS results in Australia are promising, and may, in part, be due to avoiding tricuspid
valve replacement. In the analysed data, ninety per cent (90%) of patients had tricuspid
valve repair procedures. This may be a consequence of the known poor outcome of tricuspid
valve replacement [
[2]
,
[3]
], the overall limited experience of prosthetic valve replacement in the tricuspid
position being limited, and controversy about optimal choice of replacement valve
[
[4]
,
[5]
].Keywords
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© 2023 Published by Elsevier B.V. on behalf of Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ).
