| Autor: |
Glower, D.D., White, W.D., Smith, L., Young, W., Oldham, H., Wolfe, W.G., Lowe, J.E. |
| Zdroj: |
Journal of Thoracic and Cardiovascular Surgery; May 1995, Vol. 109 Issue: 5 p877-884, 8p |
| Abstrakt: |
Porcine bioprostheses are often used for tricuspid valve replacement, yet the long-term outcome after this procedure is not well documented. Therefore, the records of 129 patients undergoing tricuspid valve replacement with Carpentier-Edwards (n = 88) or Hancock (n = 41) prostheses between 1975 and 1993 were reviewed. The operation required a repeat median sternotomy in 66 of 129 (51%) patients, whereas 67 of 129 (52%) underwent double or triple valve replacement. Operative mortality was 14% (2/14) in patients undergoing first-time isolated tricuspid valve replacement and 27% (35/129) overall. Survival at 5, 10, and 14 years was 56% +/- 5%, 48% +/- 5%, and 31% +/- 9%, and freedom from tricuspid reoperation at 5, 10, and 14 years was 96% +/- 3%, 93% +/- 4%, and 49% +/- 17%. No valve thrombosis was observed. In this largest reported series of porcine bioprostheses in the tricuspid position, long-term freedom from valve-related events was excellent because of a low incidence of valve thrombosis and a valve durability of 13 to 15 years in a population with limited life expectancy. (J THORAC CARDIOVASC SURG 1995;109:877-84) |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
|
