| A three-dimensional ring annuloplasty for the treatment of tricuspid regurgitation. | |
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MedLine Citation:
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PMID: 16731167 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Significant functional tricuspid regurgitation should be corrected in patients undergoing surgery for left-sided valvular diseases. Several clinical studies have shown the superiority of the remodeling annuloplasty over other repair techniques. Herein we report our early experience with a new three-dimensional remodeling prosthetic ring (Edwards MC3 annuloplasty system [Edwards LifeSciences, Irvine, CA]). DESCRIPTION: From June 2002 to November 2004, 75 patients with functional tricuspid regurgitation (mean, 3.1 +/- 0.9) underwent tricuspid valve repair with this new prosthesis. Concomitant procedures were mitral valve repair (70%), replacement (26%), aortic valve replacement (10%), coronary artery bypass grafting (13%), and left atrial maze (34%). Median predicted EuroScore mortality was 21% (r = 3 to 62). EVALUATION: Operative mortality was 5.3% (n = 4). Pre-discharge echocardiography showed significant decrease in tricuspid regurgitation to 0.3 +/- 0.4 (p < 0.001). Forty-five patients had follow-up transthoracic echocardiography after a median of 16 months (range, 4 to 34) demonstrating a stable result (mean tricuspid regurgitation, 0.3 +/- 0.5). There were no cases of ring dehiscence, prosthetic ring endocarditis, or thromboembolic events. CONCLUSIONS: This new three-dimensional ring is easy to implant, corrects tricuspid regurgitation effectively, and provides good short-term clinical and echocardiographic results. Long-term evaluation, however, is necessary to determine the stability of tricuspid valve repair using the MC3 annuloplasty system. |
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Authors:
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Farzan Filsoufi; Sacha P Salzberg; Marianne Coutu; David H Adams |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 81 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2006 Jun |
Date Detail:
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Created Date: 2006-05-29 Completed Date: 2007-09-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 2273-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiothoracic Surgery, Mount Sinai Hospital, New York, New York, USA. farzan.filsoufi@mountsinai.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Aortic Valve / surgery Atrial Fibrillation / complications, surgery Cardiac Pacing, Artificial Comorbidity Coronary Artery Bypass Equipment Design Female Follow-Up Studies Heart Valve Prosthesis Implantation Hospital Mortality Humans Male Middle Aged Mitral Valve / surgery Multiple Organ Failure / mortality Postoperative Complications / mortality Prostheses and Implants* Prosthesis Implantation / methods*, mortality Retrospective Studies Severity of Illness Index Treatment Outcome Tricuspid Valve Insufficiency / complications, surgery*, ultrasonography |
| Comments/Corrections | |
Comment In:
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Ann Thorac Surg. 2006 Jun;81(6):2277-8
[PMID:
16731168
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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