Document Detail

Clinical and morphologic observations after simultaneous replacement of the tricuspid, mitral and aortic valves.
MedLine Citation:
PMID:  3766419     Owner:  NLM     Status:  MEDLINE    
Clinical and morphologic observations are described in 12 patients who underwent simultaneous replacement of the tricuspid, mitral and aortic valves. All 12 patients had mitral stenosis, 10 aortic valve stenosis and 2 pure aortic valve regurgitation; 5 had tricuspid valve stenosis and 7 pure tricuspid valve regurgitation. Of the 10 patients who died within 60 days of triple valve replacement, 7 had the low cardiac output syndrome, which in 4, and possibly 5, of the 7 was attributed to prosthetic aortic valve stenosis. In none of the 12 patients was the ascending aorta dilated, and in the 4 (possibly 5) patients with low cardiac output, the space between the surface of the caged poppet (4 patients) or margins of the tilting disc (1 patient) in the aortic valve position and the aortic endothelium appeared inadequate to allow unobstructed flow despite small-sized prostheses in all but 1 patient. Thus, aortic valve replacement in the setting of triple valve dysfunction is hazardous or potentially so. The relative small sizes of the hearts in these patients also make valve replacement more difficult (and hazardous) compared to hearts with larger ventricles and aortas.
M F Sullivan; W C Roberts
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  58     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1986 Oct 
Date Detail:
Created Date:  1986-11-07     Completed Date:  1986-11-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  781-9     Citation Subset:  AIM; IM    
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MeSH Terms
Aortic Valve Insufficiency / pathology,  surgery
Aortic Valve Stenosis / pathology,  surgery
Heart Valve Diseases / mortality,  pathology*,  surgery
Heart Valve Prosthesis*
Middle Aged
Mitral Valve Stenosis / pathology,  surgery
Tricuspid Valve Insufficiency / pathology,  surgery
Tricuspid Valve Stenosis / pathology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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