| Retrospective analysis of stage I Norwood procedures with tricuspid valve insufficiency in the past 5 years. | |
| | |
MedLine Citation:
|
PMID: 17669787 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Moderate/severe tricuspid valve regurgitation is one of the important risk factors affecting outcome after the Norwood procedure. We now evaluate tricuspid valves more precisely echocardiographically and manage tricuspid valve regurgitation even when performing the stage I Norwood procedure. We reviewed all patients (tricuspid valve regurgitation moderate/severe group=10, mild/trivial non-regurgitation group=19) who underwent the stage I Norwood procedure with a ventricle to pulmonary artery conduit in our institution between January 2001 and March 2006. Four of 10 patients with tricuspid valve regurgitation underwent tricuspid valvuloplasty in the stage I procedure. We controlled pulmonary flow in all patients with tricuspid valve regurgitation by clipping the conduit. Tricuspid valve regurgitation improved significantly after the stage I Norwood procedure in all patients (P<0.01). Operative mortality was similar in the two groups. There were no significant differences of the actuarial overall survival rate in both groups (P=0.38, log-rank test). Follow-up is complete in all patients. The rate of final repair completion was similar in the two groups (regurgitation, 5/10; non-regurgitation, 10/19). Appropriate pulmonary flow control and surgical repair in the Norwood procedure improved the outcome in terms of postoperative survival in patients with hypoplastic left heart syndrome who had moderate/severe tricuspid valve regurgitation. |
| | |
Authors:
|
Noritaka Ota; Akio Ikai; Keiichi Hirose; Kisaburo Sakamoto |
Related Documents
:
|
2461647 - The significance of tricuspid regurgitation in hypoplastic left-heart syndrome. 20732537 - Regression of marked myocardial sinusoids associated with hypoplastic left heart syndro... 1790027 - Surgical management of pulmonary atresia with intact ventricular septum. right ventricu... 1244257 - Echocardiographic spectrum of ebstein's anomaly of the tricuspid valve. 6133647 - Beta-adrenoceptor blockade and myocardial infarction: when should treatment start and f... 12601287 - Regression of left ventricular hypertrophy after aortic valve replacement in patients o... |
Publication Detail:
|
Type: Journal Article Date: 2006-11-29 |
Journal Detail:
|
Title: Interactive cardiovascular and thoracic surgery Volume: 6 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2007 Feb |
Date Detail:
|
Created Date: 2007-08-02 Completed Date: 2007-09-28 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
|
Languages: eng Pagination: 121-3 Citation Subset: IM |
Affiliation:
|
Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka City, Shizuoka, 420-8660 Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cardiac Surgical Procedures
/
methods* Echocardiography Female Humans Infant, Newborn Male Retrospective Studies Survival Rate Treatment Outcome Tricuspid Valve Insufficiency / surgery*, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Is talc pleurodesis safe for young patients following primary spontaneous pneumothorax?
Next Document: Minimized closed circuit/centrifugal pump extracorporeal circulation: an effective aid in coronary b...