PMID- 8918069
OWN - NLM
STAT- MEDLINE
DCOM- 19961226
LR  - 20181113
IS  - 0027-9684 (Print)
IS  - 0027-9684 (Linking)
VI  - 88
IP  - 10
DP  - 1996 Oct
TI  - Tricuspid valve surgery: 15-year experience.
PG  - 645-8
AB  - Tricuspid valve surgery has been associated with a high operative mortality. This 
      study reviewed 51 patients who underwent 53 tricuspid valve procedures between 
      1975 and 1989. Most patients (82%) had evidence of rheumatic heart disease. 
      Twenty-six patients (51%) had 42 previous cardiac operations, most involving the 
      mitral valve. Eighty-two percent of patients were New York Heart Association 
      (NYHA) class III or IV preoperatively, and almost all patients had associated 
      disease of other valves. The indication for operation was tricuspid regurgitation 
      in 45 patients, infectious endocarditis in 4, and tricuspid stenosis in 2. The 
      tricuspid abnormality was functional in 67% and organic in 33%. There were 32 
      tricuspid valve replacements, 20 annuloplasties, and 1 tricuspid valve excision. 
      The hospital mortality rate was 11.8% (six patients). On statistical analysis, 
      none of the perioperative variables were a significant risk factor for hospital 
      mortality. Twenty-nine patients (51%) had postoperative complications. 
      Postoperative functional status improved markedly with 80% in NYHA class I and 
      13% in class II. Long-term follow-up was attempted but was unsatisfactory in this 
      transient, indigent population.
FAU - Bleiweis, M S
AU  - Bleiweis MS
AD  - Department of Surgery, Harbor-UCLA Medical Center, Torrance, CA 90509, USA.
FAU - deVirgilio, C
AU  - deVirgilio C
FAU - Milliken, J C
AU  - Milliken JC
FAU - Baumgartner, F J
AU  - Baumgartner FJ
FAU - Sheppard, B B
AU  - Sheppard BB
FAU - Robertson, J M
AU  - Robertson JM
FAU - Nelson, R J
AU  - Nelson RJ
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Natl Med Assoc
JT  - Journal of the National Medical Association
JID - 7503090
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Chi-Square Distribution
MH  - Child
MH  - Female
MH  - Follow-Up Studies
MH  - *Heart Valve Prosthesis/adverse effects/methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/*physiopathology
MH  - Rheumatic Heart Disease/physiopathology/*surgery
MH  - Survival Rate
MH  - Tricuspid Valve/*surgery
PMC - PMC2608124
EDAT- 1996/10/01 00:00
MHDA- 1996/10/01 00:01
PMCR- 1996/10/01
CRDT- 1996/10/01 00:00
PHST- 1996/10/01 00:00 [pubmed]
PHST- 1996/10/01 00:01 [medline]
PHST- 1996/10/01 00:00 [entrez]
PHST- 1996/10/01 00:00 [pmc-release]
PST - ppublish
SO  - J Natl Med Assoc. 1996 Oct;88(10):645-8.