| Tricuspid valve annuloplasty using a partial flexible ring: mid-term follow-up. | |
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MedLine Citation:
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PMID: 12762275 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Giuseppe Gatti; Pasqua Pacilli; Peppino Pugliese |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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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:
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Created Date: 2003-05-23 Completed Date: 2003-06-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100909716 Medline TA: Ital Heart J Country: Italy |
Other Details:
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Languages: eng Pagination: 121-4 Citation Subset: IM |
Affiliation:
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Department of Cardiac Surgery, Villa Torri Hospital, Bologna, Italy. giusep.gatti@tiscali.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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