Long Term Results Comparing Mechanical and Biological Prostheses in the Tricuspid Valve Position
| Autor: | C. Murat Songur, Tugba Avcı Donmez, Anil Ozen, Erdal Simsek, Sabit Kocabeyoğlu |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Tricuspid valve business.industry Gold standard Significant difference Tricuspid valve operation Tricuspid valve replacement Long term results After discharge Actuarial survival Surgery medicine.anatomical_structure Internal medicine medicine Cardiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heart, Lung and Circulation. 23:1175-1178 |
| ISSN: | 1443-9506 |
| Popis: | Objectives The aim of this study was to evaluate the clinical outcome of patients who underwent TVR focusing on long-term survival- and valve-related complications. Methods Between January 1993 and June 2011, 132 patients underwent tricuspid valve replacement in our centre. Sixty-eight bioprosthetic valves (52%) and 64 mechanical valves (48%) were implanted for tricuspid position. For 51 patients (39%) this was a first-time tricuspid valve operation. Results Nineteen patients died during hospitalisation, yielding a hospital mortality rate of 14%. The hospital mortality and morbidity were not statistically significantly different between the two groups. Sixteen patients (14,1%) died after discharge from the hospital. Twelve-year actuarial survival after mechanical and bioprosthetic TVR was 72,1 ± 5,9 and 61.6 ± 6,6%, respectively. No statistically significant difference was detected between mechanical and bioprosthetic valves in regard to event-free survival. Conclusion The choice between mechanical or biological prostheses in the tricuspid position should be individualised according to the clinical judgment, even though absence of any difference in the survival data supports the opinion that there is no “gold standard” for prosthetic tricuspid valve replacement. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect