Surgery for Tricuspid Insufficiency: Long-Term Follow-Up After De Vega Annuloplasty
| Autor: | J. C. Haehnel, K. Holper, F. Sebening, N. Augustin |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male Reoperation Pulmonary and Respiratory Medicine Aortic valve medicine.medical_specialty Time Factors Regurgitation (circulation) Postoperative Complications Tricuspid Valve Insufficiency Recurrence Germany Mitral valve Internal medicine Methods Humans Medicine cardiovascular diseases Aged Tricuspid valve business.industry Suture Techniques Germany West Hemodynamics Perioperative Middle Aged Tricuspid insufficiency medicine.disease Surgery medicine.anatomical_structure Concomitant cardiovascular system Cardiology Female Tricuspid Valve Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The Thoracic and Cardiovascular Surgeon. 41:1-8 |
| ISSN: | 1439-1902 0171-6425 |
| DOI: | 10.1055/s-2007-1013812 |
| Popis: | Between 1975 and 1991, 97 consecutive patients underwent De Vega tricuspid annuloplasty either isolated or in combination with mitral, aortic, or mitral and aortic valve procedures. Preoperatively 96.9% of the patients were in New York Heart Association functional class III or IV. Causes of tricuspid insufficiency were functional tricuspid ring dilatation and a combination of dilatation and different organic tricuspid valve lesions. There were 17 early deaths (17.5%), primarily due to cardiac failure, none was related to the tricuspid annuloplasty. 80 perioperative survivors have been followed up for a mean of 4.7 +/- 4.1 years with a total of 462 cumulative patient-years. Actuarial 5-, 10-, and 15-year survival rates, including early deaths, were 64% +/- 5%, 48 +/- 6%, and 26% +/- 10%. Recurrence of tricuspid regurgitation was rated as moderate in 15% and severe in 18.8%. Ten patients required reoperation (2.2%/patient-year), of whom 8 were associated with tricuspid regurgitation (1.7%/patient-year). Although in all patients but one the De Vega annuloplasty was intact, the tricuspid ring was dilated; 4 patients had additional tricuspid organic valve lesions. 6 of the 8 patients had concomitant mitral valve or mitral prosthesis dysfunction. 26 patients died late (5.6%/patient-year) due to chronic cardiac failure in 50% and after reoperation in 7% of the patients. 4 patients had implantation of a permanent pacemaker (0.9%/patient-year). 54 patients (67.5%) are still alive, with 43% having no and 17.5% having only mild residual tricuspid regurgitation. De Vega annuloplasty is indicated with tricuspid insufficiency due to functional ring dilatation.(ABSTRACT TRUNCATED AT 250 WORDS) |
| Databáze: | OpenAIRE |
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