PMID- 20122329
OWN - NLM
STAT- MEDLINE
DCOM- 20100409
LR  - 20100203
IS  - 1603-6824 (Electronic)
IS  - 0041-5782 (Linking)
VI  - 172
IP  - 5
DP  - 2010 Feb 1
TI  - [Tricuspid valve annuloplasty].
PG  - 359-63
AB  - INTRODUCTION: Tricuspid valve regurgitation (TVR) is often secondary to 
      left-sided or congenital heart disease (CHD). Surgical correction of TVR is 
      indicated when the primary abnormalities require operation. MATERIAL AND METHODS: 
      Retrospective analysis of all 50 patients (mean age: 65 years (range: 24-83), 27 
      males, 23 females) operated with tricuspid valve annuloplasty (TVA) in our 
      hospital from 2000 to 2007. TVA took place concomitantly with operation for left 
      heart disease (n = 39, 78%) or CHD (n = 11, 22%). RESULTS: Preoperatively, TVR 
      was severe in 40, moderate in six and mild in four cases. Thirty-four had annulus 
      dilation > 2 cm/m(2) body surface area. Half of the patients were in New York 
      Heart Association (NYHA) class III or IV. Postoperatively, TVR was severe in two 
      cases, moderate in one, mild in 25 and absent in 18, and 95% of patients followed 
      up were in NYHA I or II. There were five (10%) early and two (4%) late deaths. 
      Temporary arrhythmias requiring medical treatment occurred in 35 cases, but eight 
      required permanent pacemaker. No tricuspid valve reoperations were performed. 
      CONCLUSIONS: The combination of correction of primary heart abnormalities and TVA 
      is associated with high perioperative mortality. In survivors, postoperative 
      clinical improvement is common, in all probability this is mainly due to the 
      correction of the primary disease. TVA reduces TVR, but its precise contribution 
      to clinical improvement and prognosis remains unknown.
FAU - Pedersen, Thais A L
AU  - Pedersen TA
AD  - Hjerte-lunge-karkirurgisk Afdeling T, Arhus Universitetshospital, Skejby, DK-8200 
      Arhus N, Denmark. thais.a.pedersen@ki.au.dk
FAU - Wierup, Per
AU  - Wierup P
FAU - Pedersen, Lia Mendes
AU  - Pedersen LM
FAU - Egeblad, Henrik
AU  - Egeblad H
FAU - Hjortdal, Vibeke E
AU  - Hjortdal VE
LA  - dan
PT  - English Abstract
PT  - Journal Article
TT  - Plastik pa trikuspidalklappen.
PL  - Denmark
TA  - Ugeskr Laeger
JT  - Ugeskrift for laeger
JID - 0141730
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cardiac Surgical Procedures/methods
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Defects, Congenital/complications/surgery
MH  - Humans
MH  - Intraoperative Complications/diagnosis
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/mortality
MH  - Prognosis
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Tricuspid Valve/*surgery
MH  - Tricuspid Valve Insufficiency/etiology/*surgery
EDAT- 2010/02/04 06:00
MHDA- 2010/04/10 06:00
CRDT- 2010/02/04 06:00
PHST- 2010/02/04 06:00 [entrez]
PHST- 2010/02/04 06:00 [pubmed]
PHST- 2010/04/10 06:00 [medline]
AID - VP05090182 [pii]
PST - ppublish
SO  - Ugeskr Laeger. 2010 Feb 1;172(5):359-63.