Document Detail


Outcome of previous tricuspid valve operation and arrhythmias in adult patients with congenital heart disease.
MedLine Citation:
PMID:  10616994     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Tricuspid valve operation or replacement has been associated with high perioperative mortality and poor long-term results. The prevalence of atrial arrhythmias before and after operation in these patients is undefined. METHODS: We retrospectively examined the outcome and frequency of atrial arrhythmias in 85 adult patients (46% men) with congenital heart defects who underwent tricuspid valve operation between 1961 and 1995. RESULTS: The majority had either Ebstein's anomaly (22%), congenitally corrected transposition (19%), tetralogy of Fallot (15%), atrial (13%), or ventricular (11%) septal defects. Forty-two (49%) patients had sustained arrhythmias within 1 year before operation. After tricuspid valve operation, 21 patients (50%) had recurrence of atrial arrhythmias, and 7 in preoperative sinus rhythm developed late rhythm disturbances. Multivariate analysis identified age at operation and preoperative arrhythmias as independent predictors of late arrhythmias. Perioperative mortality was 5%, and there were seven late deaths. Survival was 91% at 5 years, and 83% at 10 years. CONCLUSIONS: Surgical intervention does not prevent recurrence of atrial arrhythmias. Tricuspid valve operation in patients with congenital heart disease can be performed with a low risk of perioperative mortality and good long-term outcome.
Authors:
C B Overgaard; D A Harrison; S C Siu; W G Williams; G D Webb; L Harris
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  68     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1999 Dec 
Date Detail:
Created Date:  2000-01-13     Completed Date:  2000-01-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2158-63     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine and Surgery, Toronto Congenital Cardiac Centre for Adults, Toronto General Hospital, University of Toronto, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Arrhythmias, Cardiac / complications*
Cardiac Surgical Procedures / mortality
Female
Follow-Up Studies
Heart Defects, Congenital / complications,  surgery*
Humans
Male
Middle Aged
Postoperative Complications*
Reoperation
Retrospective Studies
Survival Rate
Tricuspid Valve / surgery*

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


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