| Surgical assessment of tricuspid valve replacement for severe tricuspid regurgitation without stenosis. | |
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MedLine Citation:
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PMID: 10550715 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Eight patients undergoing tricuspid valve replacement (TVR) for severe tricuspid regurgitation (TR) without stenosis were subjected to the study. Four patients had primary TR due to trauma, infective endocarditis, or Ebstein's anomaly, and the other 4 had secondary TR associated with mitral valve lesions. The right heart pressure as well as clinical manifestations due to right heart failure showed deteriorated values in both the primary and secondary TR groups, though pulmonary arterial pressure was higher in the latter group. In 2 patients, initial annuloplasty procedures could not reduce TR sufficiently and were instantly abandoned for TVR. These 2 patients, one with congenital and one with secondary TR, died of intractable right heart failure early postoperatively, while the remaining 6 patients are alive to date, in the New York Heart Association (NYHA) functional class I, during the follow-up period of 6-192 (mean, 104) months. The 2 patients who died had shown a longer morbid duration and a lower preoperative right ventricular systolic function indicated by stroke work to pulmonary artery resistance. This paper might suggest that an earlier surgical intervention in severe TR is recommended before the right ventricular function deteriorates. |
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Authors:
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T Sugimoto; M Okada; C Yamashita; K Ataka; M Yoshida; Y Toyoda; N Ozaki |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Volume: 5 ISSN: 1341-1098 ISO Abbreviation: Ann Thorac Cardiovasc Surg Publication Date: 1999 Oct |
Date Detail:
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Created Date: 2000-01-11 Completed Date: 2000-01-11 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9703158 Medline TA: Ann Thorac Cardiovasc Surg Country: JAPAN |
Other Details:
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Languages: eng Pagination: 300-3 Citation Subset: IM |
Affiliation:
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Department of Surgery, Division II, Kobe University School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe 650-0017. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Echocardiography Evaluation Studies as Topic Female Follow-Up Studies Heart Valve Prosthesis* Humans Male Middle Aged Severity of Illness Index Survival Rate Time Factors Treatment Outcome Tricuspid Valve / surgery, ultrasonography Tricuspid Valve Insufficiency / mortality, surgery*, ultrasonography Ventricular Dysfunction, Right / etiology, physiopathology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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