1 | INTRODUTION
Despite all the improvements in cardiac surgery, triple valve surgery (TVS) remains a challenging procedure, with long cardiopulmonary bypass and myocardial ischemic times. In the literature, this surgery carries a perioperative complication rate around 50%, with a perioperative mortality rate of 5-17% [1-10].
Furthermore, multiple valve surgery exposes the patients to added long-term prosthetic valve-related morbidities compared with single valve replacement, and it has been associated with reduced long-term survival, with reported survival at 10 years of 35-65% [1-4,6].
There are limited data evaluating the risk after TVS in modern ages, with previous studies showing no consistency in the preoperative variables that predict adverse outcomes [1-7].
This study reviews the experience with triple valve surgery at a single center, with the aim to analyze early and late outcomes of this procedure and identify predictors of poor prognosis.