Background: Triple valve surgery remains to be a challenging procedure even for experienced surgeons. The mortality rate for this procedure ranges from 5.9 to 13.9% in international studies, while previous Philippine Heart Center studies have posted in-hospital mortality rates of 12%. This study aims to provide an update on triple valve surgery (concomitant mitral, aortic and tricuspid valve surgery) in the Philippine Heart Center in terms of patient profile as well as clinical outcomes such as in-hospital mortality and postoperative complications.
Method and Results: The study is a descriptive report based on data encoded in the Philippine Heart Center Valve Registry. Ninety-eight patients were included in the study. There was slightly more males than females. Majority (75%) of the patients had rheumatic heart disease. In-hospital mortality was 10.2%. The most common postoperative complication was pneumonia, followed by renal failure. There was an increased prevalence of atrial fibrillation, severe pulmonary hypertension, jaundice and BMI <19 in the patients who died compared to the general study population. Among the patients who died, the most common complication was renal failure, followed by pneumonia.
Conclusion: The in-hospital mortality for patients undergoing triple valve surgery in the Philippine Heart Center from 2001 to 2013 was 10.2%. The most common postoperative complication was pneumonia, followed by renal failure.