Tricuspid valve annuloplasty using a partial flexible ring: mid-term follow-up
| Autor: | Giuseppe, Gatti, Pasqua, Pacilli, Peppino, Pugliese |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Aged 80 and over Heart Valve Prosthesis Implantation Male Heart Valve Diseases Stroke Volume Middle Aged Severity of Illness Index Survival Analysis Ventricular Dysfunction Left Postoperative Complications Treatment Outcome Italy Echocardiography Cause of Death Heart Valve Prosthesis Humans Female Hospital Mortality Tricuspid Valve Aged Follow-Up Studies Retrospective Studies |
| Zdroj: | Italian heart journal : official journal of the Italian Federation of Cardiology. 4(2) |
| ISSN: | 1129-471X |
| Popis: | Tricuspid valve annuloplasty (TVA) using a complete or partial rigid or flexible ring is becoming common practice in the surgical treatment of tricuspid insufficiency (TI). This study evaluates the immediate outcome and the mid-term clinical and echocardiographic follow-up after TVA performed using the Cosgrove-Edwards partial flexible ring.From June 1998 to March 2002, 35 consecutive adult patients with TI2+ underwent TVA using this annuloplasty ring. TI was secondary to right ventricular dilation and/or dysfunction (functional TI) in 32 (91.4%) patients, and due to anatomic anomalies of the tricuspid valve (organic TI) in 3 (8.6%). Pulmonary hypertension was present in 34.4% of the patients with functional TI. Thirty-two (91.4%) patients were in preoperative NYHA functional class III or IV. The mean follow-up was 28.3 +/- 14.6 months.There were three (8.6%) in-hospital non-valve-related cardiac deaths, and one (3.1%) non-cardiac death during follow-up. The 3-year actuarial survival was 96.5%. TI was well controlled within grade 1+ in 30 (96.8%) survivors, but one presented residual grade 2+ TI. The NYHA functional class improved to 1.3 +/- 0.5 (p = 0.035).TVA performed using the Cosgrove-Edwards ring is a valid option for the surgical treatment of both functional and organic TI, even in case of pulmonary hypertension and at mid-term follow-up. |
| Databáze: | OpenAIRE |
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