Document Detail


Tricuspid valve annuloplasty with a flexible prosthetic band.
MedLine Citation:
PMID:  17766276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study evaluates the application to the tricuspid valve of a flexible prosthetic band originally devised for mitral repair. Between March 2001 and May 2005, 53 consecutive patients (age 66.2+/-8.5 years) with significant tricuspid regurgitation and dilatation of the right-sided cardiac chambers underwent tricuspid valve annuloplasty with the band and concomitant mitral repair or replacement. Thirty-one patients (58.5%) were in NYHA class III or IV, and 33 (62.3%) had a history of right heart failure. Follow-up was 19.2+/-14.0 months. Three patients (5.7%) died before discharge, and one during follow-up. One late reoperation was required for mitral endocarditis. NYHA class decreased in survivors from 2.7+/-0.8 to 1.4+/-0.6 (P<0.0001), and the symptoms of right heart failure improved significantly after surgery. Tricuspid regurgitation was mild or absent in 44 survivors (89.8%) and moderate in 5 (10.2%). Regurgitation significantly decreased even in patients with risk factors for tricuspid repair failure or with persistent left ventricular dysfunction. The 4-year actuarial freedom from tricuspid regurgitation grade >1 was 88.7%. By univariable analysis, preoperative tricuspid regurgitation grade >2, right ventricular shortening fraction <35%, and permanent pacemaker were associated with the risk of recurrent moderate regurgitation, though only probably so (P=0.077, 0.061, and 0.097, respectively).
Authors:
Giuseppe Gatti; Fortunato Marcianò; Francesco Antonini-Canterin; Bruno Pinamonti; Bernardo Benussi; Aniello Pappalardo; Bartolo Zingone
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2007-08-31
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  6     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-27     Completed Date:  2007-12-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  731-5     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Medicine, Division of Cardiac Surgery, Ospedali Riuniti di Trieste, Strada di Fiume 447, 34100 Trieste, Italy. giusep.gatti@tiscali.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Follow-Up Studies
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation / instrumentation*
Humans
Kaplan-Meiers Estimate
Male
Middle Aged
Mitral Valve / surgery*,  ultrasonography
Mitral Valve Insufficiency / complications*,  mortality,  surgery,  ultrasonography
Mitral Valve Stenosis / complications*,  mortality,  surgery,  ultrasonography
Pliability
Prosthesis Design
Recurrence
Severity of Illness Index
Time Factors
Treatment Outcome
Tricuspid Valve / surgery*,  ultrasonography
Tricuspid Valve Insufficiency / etiology,  mortality,  surgery*,  ultrasonography
Comments/Corrections
Comment In:
Interact Cardiovasc Thorac Surg. 2007 Dec;6(6):735-6   [PMID:  18039695 ]
Interact Cardiovasc Thorac Surg. 2007 Dec;6(6):736   [PMID:  18039696 ]

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


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