Document Detail


Tricuspid valve annuloplasty using a partial flexible ring: mid-term follow-up.
MedLine Citation:
PMID:  12762275     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Tricuspid valve annuloplasty (TVA) using a complete or partial rigid or flexible ring is becoming common practice in the surgical treatment of tricuspid insufficiency (TI). This study evaluates the immediate outcome and the mid-term clinical and echocardiographic follow-up after TVA performed using the Cosgrove-Edwards partial flexible ring. METHODS: From June 1998 to March 2002, 35 consecutive adult patients with TI > 2+ underwent TVA using this annuloplasty ring. TI was secondary to right ventricular dilation and/or dysfunction (functional TI) in 32 (91.4%) patients, and due to anatomic anomalies of the tricuspid valve (organic TI) in 3 (8.6%). Pulmonary hypertension was present in 34.4% of the patients with functional TI. Thirty-two (91.4%) patients were in preoperative NYHA functional class III or IV. The mean follow-up was 28.3 +/- 14.6 months. RESULTS: There were three (8.6%) in-hospital non-valve-related cardiac deaths, and one (3.1%) non-cardiac death during follow-up. The 3-year actuarial survival was 96.5%. TI was well controlled within grade 1+ in 30 (96.8%) survivors, but one presented residual grade 2+ TI. The NYHA functional class improved to 1.3 +/- 0.5 (p = 0.035). CONCLUSIONS: TVA performed using the Cosgrove-Edwards ring is a valid option for the surgical treatment of both functional and organic TI, even in case of pulmonary hypertension and at mid-term follow-up.
Authors:
Giuseppe Gatti; Pasqua Pacilli; Peppino Pugliese
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Italian heart journal : official journal of the Italian Federation of Cardiology     Volume:  4     ISSN:  1129-471X     ISO Abbreviation:  Ital Heart J     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-05-23     Completed Date:  2003-06-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100909716     Medline TA:  Ital Heart J     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  121-4     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Villa Torri Hospital, Bologna, Italy. giusep.gatti@tiscali.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Cause of Death
Echocardiography
Female
Follow-Up Studies
Heart Valve Diseases / mortality,  surgery
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation / instrumentation*,  methods
Hospital Mortality
Humans
Italy / epidemiology
Male
Middle Aged
Postoperative Complications / etiology,  mortality
Retrospective Studies
Severity of Illness Index
Stroke Volume / physiology
Survival Analysis
Treatment Outcome
Tricuspid Valve / surgery*,  ultrasonography
Ventricular Dysfunction, Left / etiology,  mortality

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


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