| Tricuspid valve annuloplasty with a flexible prosthetic band. | |
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MedLine Citation:
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PMID: 17766276 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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). |
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Authors:
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Giuseppe Gatti; Fortunato Marcianò; Francesco Antonini-Canterin; Bruno Pinamonti; Bernardo Benussi; Aniello Pappalardo; Bartolo Zingone |
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Publication Detail:
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Type: Evaluation Studies; Journal Article Date: 2007-08-31 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 6 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2007 Dec |
Date Detail:
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Created Date: 2007-11-27 Completed Date: 2007-12-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 731-5 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Medicine, Division of Cardiac Surgery, Ospedali Riuniti di Trieste, Strada di Fiume 447, 34100 Trieste, Italy. giusep.gatti@tiscali.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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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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