PMID- 19794977
OWN - NLM
STAT- MEDLINE
DCOM- 20100127
LR  - 20211020
IS  - 1598-6357 (Electronic)
IS  - 1011-8934 (Print)
IS  - 1011-8934 (Linking)
VI  - 24
IP  - 5
DP  - 2009 Oct
TI  - Short- and long-term results of triple valve surgery: a single center experience.
PG  - 818-23
LID - 10.3346/jkms.2009.24.5.818 [doi]
AB  - Triple valve surgery is usually complex and carries a reported operative 
      mortality of 13% and 10-yr survival of 61%. We examined surgical results based on 
      our hospital's experience. A total of 160 consecutive patients underwent triple 
      valve surgery from 1990 to 2006. The most common aortic and mitral valve disease 
      was rheumatic disease (82%). The most common tricuspid valve disease was 
      functional regurgitation (80%). Seventy-four percent of the patients were in New 
      York Heart Association (NYHA) class III and IV. Univariate and multivariable 
      analyses were performed to identify predictors of early and late survival. 
      Operative mortality was 6.9% (n=11). Univariate factors associated with mortality 
      included old age, preoperative renal failure, postoperative renal failure, 
      pulmonary complications, and stroke. Of them, postoperative renal failure and 
      stroke were associated with mortality on multivariable analysis. Otherwise, 
      neither tricuspid valve replacement nor reoperation were statistically associated 
      with late mortality. Survival at 5 and 10 yr was 87% and 84%, respectively. 
      Ninety-two percent of the patients were in NYHA class I and II at their most 
      recent follow-up. Ten-year freedom from prosthetic valve endocarditis was 97%; 
      from anticoagulation-related hemorrhage, 82%; from thromboembolism, 89%; and from 
      reoperation, 84%. Postoperative renal failure and stroke were significantly 
      related with operative mortality. Triple valve surgery, regardless of reoperation 
      and tricuspid valve replacement, results in acceptable long-term survival.
FAU - Shinn, Sung Ho
AU  - Shinn SH
AD  - Department of Thoracic and Cardiovascular Surgery, Hanyang University Guri 
      Hospital, College of Medicine, University of Hanyang, Guri, Korea.
FAU - Oh, Sam-Sae
AU  - Oh SS
FAU - Na, Chan Young
AU  - Na CY
FAU - Lee, Chang-Ha
AU  - Lee CH
FAU - Lim, Hong-Gook
AU  - Lim HG
FAU - Kim, Jae Hyun
AU  - Kim JH
FAU - Yie, Kil Soo
AU  - Yie KS
FAU - Baek, Man Jong
AU  - Baek MJ
FAU - Song, Dong Seop
AU  - Song DS
LA  - eng
PT  - Journal Article
DEP - 20090924
PL  - Korea (South)
TA  - J Korean Med Sci
JT  - Journal of Korean medical science
JID - 8703518
RN  - 0 (Anticoagulants)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Anticoagulants/adverse effects/therapeutic use
MH  - Aortic Valve/*surgery
MH  - Female
MH  - Heart Valve Diseases/complications/mortality/*surgery
MH  - Heart Valve Prosthesis Implantation/*methods
MH  - Hemorrhage/chemically induced/epidemiology
MH  - Humans
MH  - Intraoperative Complications/mortality
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/*surgery
MH  - Postoperative Complications/mortality
MH  - Renal Insufficiency/etiology
MH  - Reoperation
MH  - Risk Factors
MH  - Severity of Illness Index
MH  - Stroke/etiology
MH  - Survival Analysis
MH  - Thromboembolism/epidemiology
MH  - Tricuspid Valve/*surgery
PMC - PMC2752762
OTO - NOTNLM
OT  - Renal Failure
OT  - Stroke
OT  - Triple valve surgery
EDAT- 2009/10/02 06:00
MHDA- 2010/01/28 06:00
PMCR- 2009/10/01
CRDT- 2009/10/02 06:00
PHST- 2008/08/03 00:00 [received]
PHST- 2008/11/28 00:00 [accepted]
PHST- 2009/10/02 06:00 [entrez]
PHST- 2009/10/02 06:00 [pubmed]
PHST- 2010/01/28 06:00 [medline]
PHST- 2009/10/01 00:00 [pmc-release]
AID - 10.3346/jkms.2009.24.5.818 [doi]
PST - ppublish
SO  - J Korean Med Sci. 2009 Oct;24(5):818-23. doi: 10.3346/jkms.2009.24.5.818. Epub 
      2009 Sep 24.