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Ann Thorac Surg 1978;25:402-406
© 1978 The Society of Thoracic Surgeons

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Articles

Late Results of Triple Valve Replacement: A 14-Year Review

Division of Cardiopulmonary Surgery, University of Oregon Health Sciences Center, Portland, OR

Accepted for publication November 3, 1977.

^* Address reprint requests to Dr. Macmanus, Division of Cardiopulmonary Surgery, University of Oregon Health Sciences Center, 3181 SW Sam Jackson Park Rd, Portland, OR 97201

Forty-eight patients have undergone simultaneous triple valve replacement at our institution over the past 14 years. This series was reviewed as a baseline for comparison with more recent tricuspid valve reparative procedures and to assess the natural history of advanced rheumatic heart disease with surgically corrected valvular lesions. Survival was 81% at one month and 32% at 14 years, not significantly different from results with double valve replacement during the same period, and not related to whether the tricuspid involvement was organic or functional. Forty-three percent of the late deaths were clearly valve related, a percentage which would undoubtedly be lowered with currently available prostheses. Functional class was determined in 13 of the 17 current survivors (mean follow-up, 10.3 years), and was improved over preoperative functional class in all but 3 patients. Three patients died of progressive congestive heart failure despite normally functioning prostheses; the reasons for these deaths are open to speculation.

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