Document Detail


Tricuspid valve repair with the Cosgrove-Edwards annuloplasty system: early clinical and echocardiographic results.
MedLine Citation:
PMID:  11565655     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The use of flexible rings for tricuspid valve repair is becoming popular. The purpose of this study was to evaluate the Cosgrove-Edwards annuloplasty system for tricuspid regurgitation. METHODS: From June 1998 to December 2000, 22 patients with significant secondary tricuspid regurgitation underwent tricuspid valve repair with the Cosgrove-Edwards annuloplasty system. All patients had disease of left-sided heart valves in addition to tricuspid disease; 34 concomitant procedures were performed. Twenty-one patients (95.5%) were in preoperative New York Heart Association functional class 3 or 4. The mean follow-up was 19.9 +/- 9.7 months. RESULTS: There were two in-hospital nonvalve-related cardiac deaths (9.1%) and one noncardiac death after discharge (4.5%). All survivors were in New York Heart Association functional class 1 or 2; their tricuspid regurgitation was well controlled within grade 1+ and there was a significant reduction of systolic pulmonary artery pressure. Five (83.3%) of the 6 survivors with preoperative pulmonary hypertension had no or trivial residual tricuspid regurgitation. CONCLUSIONS: The Cosgrove-Edwards annuloplasty system is very effective in the treatment of secondary tricuspid regurgitation, also in the presence of pulmonary hypertension.
Authors:
G Gatti; G Maffei; A M Lusa; P Pugliese
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  72     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-09-21     Completed Date:  2001-10-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  764-7     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiac Surgery, Nursing Home Villa Torri, Bologna, Italy. cardiochirurgia@villatorri.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Echocardiography*
Female
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation* / mortality
Humans
Male
Middle Aged
Survival Rate
Tricuspid Valve / surgery*
Tricuspid Valve Insufficiency / etiology,  mortality,  surgery*

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


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