Late Results of Triple Valve Replacement: A 14-Year Review
| Autor: | Quentin Macmanus, Albert Starr, Gary L. Grunkemeier |
|---|---|
| Rok vydání: | 1978 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Heart disease Heart Valve Diseases Triple valve replacement medicine Humans Aged Tricuspid valve business.industry Rheumatic Heart Disease Middle Aged medicine.disease Late results Tricuspid Valve Insufficiency Surgery Natural history medicine.anatomical_structure Aortic Valve Heart Valve Prosthesis Heart failure Mitral Valve Female Tricuspid Valve Cardiology and Cardiovascular Medicine business Double valve replacement Follow-Up Studies |
| Zdroj: | The Annals of Thoracic Surgery. 25:402-406 |
| ISSN: | 0003-4975 |
| Popis: | Forty-eight patients have undergone simultaneous triple valve replacement at our institution over the past 14 years. This series was reviewed as a baseline for comparison with more recent tricuspid valve reparative procedures and to assess the natural history of advanced rheumatic heart disease with surgically corrected valvular lesions. Survival was 81% at one month and 32% at 14 years, not significantly different from results with double valve replacement during the same period, and not related to whether the tricuspid involvement was organic or functional. Forty-three percent of the late deaths were clearly valve related, a percentage which would undoubtedly be lowered with currently available prostheses. Functional class was determined in 13 of the 17 current survivors (mean follow-up, 10.3 years), and was improved over preoperative functional class in all but 3 patients. Three patients died of progressive congestive heart failure despite normally functioning prostheses; the reasons for these deaths are open to speculation. |
| Databáze: | OpenAIRE |
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