PMID- 11055003
OWN - NLM
STAT- MEDLINE
DCOM- 20001109
LR  - 20090213
IS  - 0003-9683 (Print)
IS  - 0003-9683 (Linking)
VI  - 93
IP  - 9
DP  - 2000 Sep
TI  - [Isolated tricuspid valve replacement. Long-term results].
PG  - 1119-24
AB  - The purpose of this study was to examine the early and late results in 29 
      patients who underwent 32 (6 mechanical and 26 bioprostheses) isolated tricuspid 
      valve replacement (TVR) from a total of 79 TVR and 375 tricuspid annuloplasties 
      performed at the Montreal Heart Institute, between January 1978 and January 1998. 
      Patients' ages ranged from 25 to 70 years (mean 48 years), and 62% were females. 
      Twenty-seven patients (84%) were in New York Heart Association (NYHA) functional 
      class III and IV. Previous valve surgery had been performed in 22 patients (69%) 
      of which 9 had undergone TVR. Postoperatively, permanent pacemaker was implanted 
      in 9 patients (28%), and immediate reoperation was required in 2 patients because 
      of bleeding. Mean follow-up period was 67.7 months (93% complete). Serial 
      echocardiography showed 3 prosthesis dysfunctions, leading to a second 
      replacement in 2 patients at 12.8 and 7.7 years after initial surgery. All but 
      three patients showed an improvement of their NYHA class. Hospital mortality 
      occurred in 6 patients (19%) and 7 patients died during late follow-up: mean 38.1 
      months after surgery, including one valve-related death (mechanical valve 
      thrombosis). Actuarial survival rate of all patients was 63% after 5 years, and 
      47% after 10 years. Isolated TVR remains a high-risk procedure. Most survivors, 
      however, should expect a better quality of life with improvement in their NYHA 
      class.
FAU - Do, Q B
AU  - Do QB
AD  - Departement de chirurgie, Institut de cardiologie de Montreal, Quebec, Canada.
FAU - Pellerin, M
AU  - Pellerin M
FAU - Carrier, M
AU  - Carrier M
FAU - Cartier, R
AU  - Cartier R
FAU - Hebert, Y
AU  - Hebert Y
FAU - Page, P
AU  - Page P
FAU - Perrault, L P
AU  - Perrault LP
FAU - Pelletier, L C
AU  - Pelletier LC
LA  - fre
PT  - English Abstract
PT  - Journal Article
TT  - Remplacement valvulaire tricuspide isole. Resultats a long terme.
PL  - France
TA  - Arch Mal Coeur Vaiss
JT  - Archives des maladies du coeur et des vaisseaux
JID - 0406011
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Rate
MH  - Heart Valve Diseases/mortality/*surgery
MH  - *Heart Valve Prosthesis Implantation/adverse effects/mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pacemaker, Artificial
MH  - Postoperative Complications
MH  - Reoperation
MH  - Retrospective Studies
MH  - Survival Rate
MH  - Time Factors
MH  - *Tricuspid Valve
EDAT- 2000/10/31 11:00
MHDA- 2001/02/28 10:01
CRDT- 2000/10/31 11:00
PHST- 2000/10/31 11:00 [pubmed]
PHST- 2001/02/28 10:01 [medline]
PHST- 2000/10/31 11:00 [entrez]
PST - ppublish
SO  - Arch Mal Coeur Vaiss. 2000 Sep;93(9):1119-24.