HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Brown, P. S. Articles by Clark, R. E. Search for Related Content PubMed PubMed Citation Articles by Brown, P. S., Jr Articles by Clark, R. E.

The Annals of Thoracic Surgery, Vol 55, 502-508, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Late results after triple-valve replacement with various substitute valves

PS Brown Jr, CS Roberts, CL McIntosh, JA Swain and RE Clark
Surgery Branch, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland.

The purpose of this study was to determine what influence various combinations of mechanical and bioprosthetic valves in the aortic, mitral, and tricuspid positions had on late morbidity and mortality of 40 hospital survivors of triple-valve replacement. At operation the patients ranged in age from 27 to 69 years; 73% were women. The mean postoperative follow-up interval was 8.3 years, with a total follow-up of 331 years (100% complete). At 12 months after operation, functional class decreased from 3.3 to 1.6 (p < 0.05), cardiac index increased from 2.0 to 2.6 L.min-1 x m-2 (p < 0.05), and pulmonary artery pressures decreased from 59/27 to 40/17 mm Hg (p < 0.05). There were no differences in preoperative variables between groups. Actuarial survival for the 40 patients (exclusive of 30-day or in-hospital mortality, which was 31%) was 78% and 74% at 5 and 10 years. At the same milestones, freedom from reoperation was 96% and 54%, freedom from combined thromboembolism and anticoagulant-related hemorrhage was 68% and 56%, and freedom from all late valve-related morbidity and mortality was 64% and 25%. Comparison of the patients with two or more mechanical prostheses with the patients having two or more bioprostheses indicated no significant differences in actuarial freedom from late death, thromboembolic events, or anticoagulant-related hemorrhage. However the actuarial freedom from reoperation in the groups with two or more mechanical valves was lower than that of the groups with two or more bioprosthetic valves (0/10 versus 13/30; p < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

This article has been cited by other articles:

				H. V. Schaff and R. M. Suri Multiple Valve Disease Card. Surg. Adult, January 1, 2008; 3(2008): 1129 - 1158. [Full Text]

				Q.-Q. Han, Z.-Y. Xu, B.-R. Zhang, L.-J. Zou, J.-H. Hao, and S.-D. Huang Primary triple valve surgery for advanced rheumatic heart disease in Mainland China: a single-center experience with 871 clinical cases Eur. J. Cardiothorac. Surg., May 1, 2007; 31(5): 845 - 850. [Abstract] [Full Text] [PDF]

				T. H. Akay, B. Gultekin, S. Ozkan, E. Aslim, B. Saritas, A. Sezgin, and S. Aslamaci Triple-Valve Procedures: Impact of Risk Factors on Midterm in a Rheumatic Population Ann. Thorac. Surg., November 1, 2006; 82(5): 1729 - 1734. [Abstract] [Full Text] [PDF]

				B. Alsoufi, V. Rao, M. A. Borger, M. Maganti, S. Armstrong, C. M. Feindel, H. E. Scully, and T. E. David Short- and Long-Term Results of Triple Valve Surgery in the Modern Era Ann. Thorac. Surg., June 1, 2006; 81(6): 2172 - 2178. [Abstract] [Full Text] [PDF]

				Y. Sakamoto, K. Hashimoto, H. Okuyama, S. Ishii, T. Inoue, and K. Kinouchi Long-Term Results of Triple-Valve Procedure Asian Cardiovasc Thorac Ann, February 1, 2006; 14(1): 47 - 50. [Abstract] [Full Text] [PDF]

				S. Guhathakurta and K. M Cherian Triple Valve Replacement with Carpentier-Edwards Bioprostheses Asian Cardiovasc Thorac Ann, December 1, 2004; 12(4): 369 - 371. [Abstract] [Full Text] [PDF]

				H. V. Schaff and D. H. Marsh Multiple Valve Disease Card. Surg. Adult, January 1, 2003; 2(2003): 1017 - 1045. [Full Text]

				M. Carrier, M. Pellerin, D. Bouchard, L. P. Perrault, R. Cartier, Y. Hebert, A. Basmadjian, P. Page, and N. C. Poirier Long-term results with triple valve surgery Ann. Thorac. Surg., January 1, 2002; 73(1): 44 - 47. [Abstract] [Full Text] [PDF]