Tricuspid valve repair with the Cosgrove-Edwards annuloplasty system: early clinical and echocardiographic results
| Autor: | Giuseppe Maffei, Peppino Pugliese, Anna M Lusa, Giuseppe Gatti |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Tricuspid disease Regurgitation (circulation) New york heart association medicine.artery Internal medicine Humans Medicine cardiovascular diseases TRICUSPID VALVE REPAIR Aged Aged 80 and over Heart Valve Prosthesis Implantation Tricuspid valve business.industry Middle Aged medicine.disease Pulmonary hypertension Tricuspid Valve Insufficiency Surgery Survival Rate medicine.anatomical_structure Echocardiography Heart Valve Prosthesis Concomitant Pulmonary artery cardiovascular system Cardiology Female Tricuspid Valve Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of Thoracic Surgery. 72:764-767 |
| ISSN: | 0003-4975 |
| Popis: | Background . The use of flexible rings for tricuspid valve repair is becoming popular. The purpose of this study was to evaluate the Cosgrove-Edwards annuloplasty system for tricuspid regurgitation. Methods . From June 1998 to December 2000, 22 patients with significant secondary tricuspid regurgitation underwent tricuspid valve repair with the Cosgrove-Edwards annuloplasty system. All patients had disease of left-sided heart valves in addition to tricuspid disease; 34 concomitant procedures were performed. Twenty-one patients (95.5%) were in preoperative New York Heart Association functional class 3 or 4. The mean follow-up was 19.9 ± 9.7 months. Results . There were two in-hospital nonvalve-related cardiac deaths (9.1%) and one noncardiac death after discharge (4.5%). All survivors were in New York Heart Association functional class 1 or 2; their tricuspid regurgitation was well controlled within grade 1+ and there was a significant reduction of systolic pulmonary artery pressure. Five (83.3%) of the 6 survivors with preoperative pulmonary hypertension had no or trivial residual tricuspid regurgitation. Conclusions . The Cosgrove-Edwards annuloplasty system is very effective in the treatment of secondary tricuspid regurgitation, also in the presence of pulmonary hypertension. |
| Databáze: | OpenAIRE |
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