PMID- 24397137
OWN - NLM
STAT- MEDLINE
DCOM- 20140702
LR  - 20161128
IS  - 1002-1892 (Print)
IS  - 1002-1892 (Linking)
VI  - 27
IP  - 10
DP  - 2013 Oct
TI  - [Short-term effectiveness analysis of three different tricuspid valve plasty for 
      functional tricuspid regurgitation].
PG  - 1230-3
AB  - OBJECTIVE: To compare and evaluate the short-term outcomes of 3 different 
      tricuspid valve plasty for functional tricuspid regurgitation (TR) in patients 
      with rheumatic heart disease. METHODS: Between October 2010 and June 2011, 148 
      patients with rheumatic heart disease undergoing left heart valve replacement and 
      tricuspid valve plasty for functional TR were enrolled in the study. There were 
      32 males and 116 females with an average age of 47.5 years (range, 15-66 years). 
      The patients were divided into 3 groups depending on tricuspid valve plasty: 
      Cosgrove-Edwards annuloplasty ring group (annuloplasty ring group, 58 cases), Kay 
      annuloplasty group (Kay group, 61 cases), and DeVega annuloplasty group (DeVaga 
      group, 29 cases). There was no significant difference in general data among 
      groups (P > 0.05), except more severe TR degree, higher atrial fibrillation, and 
      higher radiofrequency ablation in annuloplasty ring group (P < 0.05). 
      Perioperative data were recorded. The heart function was evaluated according to 
      the standard of New York Heart Association (NYHA). Echocardiography (ECG) was 
      used to record the TR class during perioperative period and follow-up. RESULTS: 
      After operation, 1 case in Kay group and 1 case in annuloplasty ring group were 
      dead because of low cardiac output syndrome. Pneumonia happened in 2 cases of Kay 
      group and in 1 case of annuloplasty ring group; re-operation was performed in 1 
      case of annuloplasty ring group because of sternal dehiscence. There was no 
      significant difference in perioperative complication among 3 groups (P = 0.840). 
      The TR degree was significantly improved at discharge when compared with 
      preoperative degree in 3 groups (P < 0.001). A total of 146 patients were 
      followed up 6-12 months (mean, 7.3 months). The NYHA grade of 3 groups at last 
      follow-up was improved when compared with preoperative grade (P < 0.001), but no 
      significant difference among 3 groups (chi2 = 0.120, P = 0.942). The TR degree at 
      last follow-up was all improved in 3 groups when compared with preoperative 
      degree (P < 0.001); the improved efficiency showed significant difference among 3 
      groups (chi2 = 26.827, P = 0.000), it was significantly better in annuloplasty 
      ring group than in the other 2 groups (P < 0.001), but no significant difference 
      between DeVega group and Kay group (Z = 1.467, P = 0.142). CONCLUSION: The early 
      improved efficiency of TR after Cosgrove-Edwards annuloplasty is superior to that 
      of Kay annuloplasty and DeVega annuloplasty.
FAU - Fang, Zhi
AU  - Fang Z
AD  - Department of Cardiovascular Surgery, West China Hospital, Sichuan University, 
      Chengdu Sichuan 610041, PR China.
FAU - Meng, Wei
AU  - Meng W
AD  - Department of Cardiovascular Surgery, West China Hospital, Sichuan University, 
      Chengdu Sichuan 610041, PR China.
FAU - Zhang, Eryong
AU  - Zhang E
AD  - Department of Cardiovascular Surgery, West China Hospital, Sichuan University, 
      Chengdu Sichuan 610041, PR China.
LA  - chi
PT  - Comparative Study
PT  - Journal Article
PL  - China
TA  - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
JT  - Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = 
      Chinese journal of reparative and reconstructive surgery
JID - 9425194
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Cardiac Valve Annuloplasty/instrumentation/*methods/mortality
MH  - Case-Control Studies
MH  - Female
MH  - Heart Valve Prosthesis Implantation/instrumentation/methods/mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/diagnostic imaging/etiology
MH  - Retrospective Studies
MH  - Rheumatic Heart Disease/diagnostic imaging/*surgery
MH  - Severity of Illness Index
MH  - Suture Techniques
MH  - Treatment Outcome
MH  - Tricuspid Valve/diagnostic imaging/*surgery
MH  - Tricuspid Valve Insufficiency/diagnostic imaging/etiology/mortality/*surgery
MH  - Ultrasonography
MH  - Young Adult
EDAT- 2014/01/09 06:00
MHDA- 2014/07/06 06:00
CRDT- 2014/01/09 06:00
PHST- 2014/01/09 06:00 [entrez]
PHST- 2014/01/09 06:00 [pubmed]
PHST- 2014/07/06 06:00 [medline]
PST - ppublish
SO  - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013 Oct;27(10):1230-3.