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9%) vs 145 (3%) vs 58 (7.3%) vs 7 (8.6%), p less then 0.0001], prolonged ventilation [1652 (7.5%) vs 495 (10.2%) vs 153 (19.1%) vs 22 (27.2%), p less then 0.0001], and mortality [344 (1.6%) vs 132 (2.7%) vs 58 (7.3%) vs 9 (11.1%), p less then 0.0001]. Following risk adjustment, mild, moderate, and severe TR remained associated with increased morbidity and mortality (all p less then 0.05). Conclusions Increasing TR severity, although independently associated with higher surgical risk, is not accounted for entirely by STS risk calculator