PMID- 28795446
OWN - NLM
STAT- MEDLINE
DCOM- 20171116
LR  - 20171128
IS  - 1540-8191 (Electronic)
IS  - 0886-0440 (Linking)
VI  - 32
IP  - 9
DP  - 2017 Sep
TI  - Tricuspid valve replacement with mechanical prostheses: Short and long-term 
      outcomes.
PG  - 542-549
LID - 10.1111/jocs.13193 [doi]
AB  - BACKGROUND AND AIM: Tricuspid valve replacement has been associated with high 
      mortality and poor long-term outcomes. We report the preoperative risk factors 
      associated with short and long-term outcomes following tricuspid valve 
      replacement with mechanical prostheses. METHODS: In 62 patients who underwent 
      mechanical tricuspid valve replacement, clinical, laboratory, and 
      echocardiographic findings were analyzed using both univariate and multivariate 
      analyses to describe operative and long-term mortality. RESULTS: In our 
      population (mean age 59 +/- 9.7 years, 82.3% female), most common causes of 
      tricuspid valve disease were rheumatic fever (69.4%) and functional regurgitation 
      (19.4%). Operative and long-term mortality were 17.7 and 33.9%, respectively. 
      Age, diabetes mellitus, and coronary artery disease were independently associated 
      with increased long-term mortality. New York Heart Association (NYHA) class and 
      right heart failure symptoms significantly improved during follow-up. 
      CONCLUSIONS: In this series of mechanical tricuspid valve replacements in 
      patients with predominately rheumatic heart disease, operative and long-term 
      mortality were increased; however, survivors had significant improvement in their 
      NYHA class and freedom from right heart failure symptoms. Three preoperative 
      factors (age, diabetes mellitus, and coronary artery disease) were independently 
      associated with long-term mortality.
CI  - (c) 2017 Wiley Periodicals, Inc.
FAU - Rossello, Xavier
AU  - Rossello X
AD  - Department of Cardiology, Universitat Autonoma de Barcelona, Hospital de la Santa 
      Creu i Sant Pau, Barcelona, Spain.
FAU - Munoz-Guijosa, Christian
AU  - Munoz-Guijosa C
AUID- ORCID: 0000-0002-0272-1704
AD  - Department of Cardiac Surgery, Universitat Autonoma de Barcelona, Hospital de la 
      Santa Creu i Sant Pau, Barcelona, Spain.
FAU - Mena, Elisabet
AU  - Mena E
AD  - Department of Cardiology, Hospital de Sant Joan Despi Moises Broggi, Barcelona, 
      Spain.
FAU - Camprecios, Marta
AU  - Camprecios M
AD  - Department of Cardiology, Hospital de Sant Joan Despi Moises Broggi, Barcelona, 
      Spain.
FAU - Mendez, Ana B
AU  - Mendez AB
AD  - Department of Cardiology, Universitat Autonoma de Barcelona, Hospital de la Santa 
      Creu i Sant Pau, Barcelona, Spain.
FAU - Borras, Xavier
AU  - Borras X
AD  - Department of Cardiology, Universitat Autonoma de Barcelona, Hospital de la Santa 
      Creu i Sant Pau, Barcelona, Spain.
FAU - Padro, Josep M
AU  - Padro JM
AD  - Department of Cardiac Surgery, Universitat Autonoma de Barcelona, Hospital de la 
      Santa Creu i Sant Pau, Barcelona, Spain.
LA  - eng
PT  - Journal Article
DEP - 20170809
PL  - United States
TA  - J Card Surg
JT  - Journal of cardiac surgery
JID - 8908809
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Coronary Artery Disease
MH  - Diabetes Mellitus
MH  - Female
MH  - *Heart Valve Prosthesis
MH  - Heart Valve Prosthesis Implantation/*methods/*mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Rheumatic Fever/complications
MH  - Risk Factors
MH  - Time Factors
MH  - Treatment Outcome
MH  - Tricuspid Valve/*surgery
MH  - Tricuspid Valve Insufficiency/etiology/*mortality/*surgery
OTO - NOTNLM
OT  - mechanical tricuspid prosthesis
EDAT- 2017/08/11 06:00
MHDA- 2017/11/29 06:00
CRDT- 2017/08/11 06:00
PHST- 2017/08/11 06:00 [pubmed]
PHST- 2017/11/29 06:00 [medline]
PHST- 2017/08/11 06:00 [entrez]
AID - 10.1111/jocs.13193 [doi]
PST - ppublish
SO  - J Card Surg. 2017 Sep;32(9):542-549. doi: 10.1111/jocs.13193. Epub 2017 Aug 9.