Document Detail


Tricuspid valve repair in right-sided endocarditis.
MedLine Citation:
PMID:  9427134     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIMS OF THE STUDY: Tricuspid valve endocarditis traditionally has been treated with either valve resection or valve replacement. To avoid implantation of foreign material in an infected area and to circumvent anticoagulation, tricuspid valve repair was applied and the results assessed. METHODS: Tricuspid valve repair was performed in five patients with right-sided endocarditis. All patients had tricuspid regurgitation grade 3-4 on preoperative transesophageal echocardiography, and developed progressive deterioration associated with heart failure. The indications for surgery were congestive heart failure, persistent sepsis, recurrent emboli, concomitant left-sided endocarditis, and fungal infection. Surgical procedures included cusp resection, annular plication and annuloplasty, pericardial patch replacement, and construction of artificial chordae. RESULTS: There were no hospital deaths and major associated morbidity. Follow up is complete at a mean of 20.4 months. There were no reoperations or cases of recurrent infections. All patients are in NYHA class I-II. Postoperative echocardiography revealed no signs of major valvular dysfunction. CONCLUSIONS: Valve repair in right-sided endocarditis is a relatively new application for repair techniques, but may become an attractive alternative to tricuspid valve excision or prosthetic valve replacement.
Authors:
H Sons; W Dausch; J H Kuh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of heart valve disease     Volume:  6     ISSN:  0966-8519     ISO Abbreviation:  J. Heart Valve Dis.     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1998-02-03     Completed Date:  1998-02-03     Revised Date:  2006-05-04    
Medline Journal Info:
Nlm Unique ID:  9312096     Medline TA:  J Heart Valve Dis     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  636-41     Citation Subset:  IM    
Affiliation:
Department of Thoracic Surgery, City Hospital Kassel, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Echocardiography, Transesophageal
Endocarditis, Bacterial / physiopathology,  surgery*,  ultrasonography
Female
Follow-Up Studies
Heart Valve Diseases / physiopathology,  surgery*,  ultrasonography
Heart Valve Prosthesis Implantation / methods
Humans
Male
Retrospective Studies
Treatment Outcome
Tricuspid Valve / physiopathology,  surgery*,  ultrasonography
Tricuspid Valve Insufficiency / complications

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


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