PMID- 10550715
OWN - NLM
STAT- MEDLINE
DCOM- 20000111
LR  - 20161124
IS  - 1341-1098 (Print)
IS  - 1341-1098 (Linking)
VI  - 5
IP  - 5
DP  - 1999 Oct
TI  - Surgical assessment of tricuspid valve replacement for severe tricuspid 
      regurgitation without stenosis.
PG  - 300-3
AB  - Eight patients undergoing tricuspid valve replacement (TVR) for severe tricuspid 
      regurgitation (TR) without stenosis were subjected to the study. Four patients 
      had primary TR due to trauma, infective endocarditis, or Ebstein's anomaly, and 
      the other 4 had secondary TR associated with mitral valve lesions. The right 
      heart pressure as well as clinical manifestations due to right heart failure 
      showed deteriorated values in both the primary and secondary TR groups, though 
      pulmonary arterial pressure was higher in the latter group. In 2 patients, 
      initial annuloplasty procedures could not reduce TR sufficiently and were 
      instantly abandoned for TVR. These 2 patients, one with congenital and one with 
      secondary TR, died of intractable right heart failure early postoperatively, 
      while the remaining 6 patients are alive to date, in the New York Heart 
      Association (NYHA) functional class I, during the follow-up period of 6-192 
      (mean, 104) months. The 2 patients who died had shown a longer morbid duration 
      and a lower preoperative right ventricular systolic function indicated by stroke 
      work to pulmonary artery resistance. This paper might suggest that an earlier 
      surgical intervention in severe TR is recommended before the right ventricular 
      function deteriorates.
FAU - Sugimoto, T
AU  - Sugimoto T
AD  - Department of Surgery, Division II, Kobe University School of Medicine, 7-5-2 
      Kusunoki-cho, Chuo-ku, Kobe 650-0017.
FAU - Okada, M
AU  - Okada M
FAU - Yamashita, C
AU  - Yamashita C
FAU - Ataka, K
AU  - Ataka K
FAU - Yoshida, M
AU  - Yoshida M
FAU - Toyoda, Y
AU  - Toyoda Y
FAU - Ozaki, N
AU  - Ozaki N
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PL  - Japan
TA  - Ann Thorac Cardiovasc Surg
JT  - Annals of thoracic and cardiovascular surgery : official journal of the 
      Association of Thoracic and Cardiovascular Surgeons of Asia
JID - 9703158
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Echocardiography
MH  - Evaluation Studies as Topic
MH  - Female
MH  - Follow-Up Studies
MH  - *Heart Valve Prosthesis
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Severity of Illness Index
MH  - Survival Rate
MH  - Time Factors
MH  - Treatment Outcome
MH  - Tricuspid Valve/diagnostic imaging/surgery
MH  - Tricuspid Valve Insufficiency/diagnostic imaging/mortality/*surgery
MH  - Ventricular Dysfunction, Right/etiology/*physiopathology
EDAT- 1999/11/07 00:00
MHDA- 1999/11/07 00:01
CRDT- 1999/11/07 00:00
PHST- 1999/11/07 00:00 [pubmed]
PHST- 1999/11/07 00:01 [medline]
PHST- 1999/11/07 00:00 [entrez]
PST - ppublish
SO  - Ann Thorac Cardiovasc Surg. 1999 Oct;5(5):300-3.