Left ventricular assist device implantation with concomitant tricuspid valve repair: is there really a benefit?
| Autor: | Konstantin Zhigalov, Juergen Ennker, Jerry Easo, Bakitbek K. Kadyraliev, Sabreen Mkalaluh, Harald C. Eichstaedt, Marcin Szczechowicz, Alexander Weymann, Ahmed Mashhour |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
Inotrope medicine.medical_specialty Tricuspid valve business.industry medicine.medical_treatment 030232 urology & nephrology 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Internal medicine Ventricular assist device Heart failure Concomitant Clinical endpoint Cardiology Medicine Original Article business Packed red blood cells Dialysis |
| Popis: | BACKGROUND: The objectives of this study was to investigate if concomitant tricuspid valve repair in patients undergoing continuous flow left ventricular assist device (LVAD) implantation has an impact on the outcome regarding survival and adverse events. METHODS: Between June 2007 and February 2018, 124 consecutive patients received HeartMate II (HMII) [74 (59.7%)] HeartWare (HVAD) [16 (12.9%)], or HeartMate III (HM III) [34 (27.4%)] for end-stage heart failure. Mean age was 63.5±10.9 years. Two 18-patient groups were identified; with [tricuspid valve reconstruction (TVR)] group and without (non-TVR group) accompanying TVR. The primary endpoint was overall survival after device implantation. Secondary endpoints were adverse events during the follow-up period. RESULTS: Survival was not significantly different between the groups (P>0.05). In TVR group, there was a higher need for open chest after surgery and a prolonged inotrope use because of right heart failure (RHF), a higher incidence of acute kidney dysfunction requiring dialysis, as well as a higher need for packed red blood cells due to postoperative bleeding (P0.05). |
| Databáze: | OpenAIRE |
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