Skip to main content
NCBI home page
Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 1996 Oct;88(10):645–648.

Tricuspid valve surgery: 15-year experience.

M S Bleiweis 1, C deVirgilio 1, J C Milliken 1, F J Baumgartner 1, B B Sheppard 1, J M Robertson 1, R J Nelson 1
PMCID: PMC2608124  PMID: 8918069

Abstract

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.

Full text

PDF
645

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abe T., Tukamoto M., Yanagiya M., Morikawa M., Watanabe N., Komatsu S. De Vega's annuloplasty for acquired tricuspid disease: early and late results in 110 patients. Ann Thorac Surg. 1989 Nov;48(5):670–676. doi: 10.1016/0003-4975(89)90787-x. [DOI] [PubMed] [Google Scholar]
  2. Breyer R. H., McClenathan J. H., Michaelis L. L., McIntosh C. L., Morrow A. G. Tricuspid regurgitation. A comparison of nonoperative management, tricuspid annuloplasty, and tricuspid valve replacement. J Thorac Cardiovasc Surg. 1976 Dec;72(6):867–874. [PubMed] [Google Scholar]
  3. Carpentier A., Deloche A., Hanania G., Forman J., Sellier P., Piwnica A., Dubost C., McGoon D. C. Surgical management of acquired tricuspid valve disease. J Thorac Cardiovasc Surg. 1974 Jan;67(1):53–65. [PubMed] [Google Scholar]
  4. De Paulis R., Bobbio M., Ottino G., Donegani E., Di Rosa E., Casabona R., Girotto M., Morea M. The De Vega tricuspid annuloplasty. Perioperative mortality and long term follow-up. J Cardiovasc Surg (Torino) 1990 Jul-Aug;31(4):512–517. [PubMed] [Google Scholar]
  5. Duran C. M., Pomar J. L., Colman T., Figueroa A., Revuelta J. M., Ubago J. L. Is tricuspid valve repair necessary? J Thorac Cardiovasc Surg. 1980 Dec;80(6):849–860. [PubMed] [Google Scholar]
  6. Guerra F., Bortolotti U., Thiene G., Milano A., Mazzucco A., Talenti E., Stellin G., Gallucci V. Long-term performance of the Hancock porcine bioprosthesis in the tricuspid position. A review of forty-five patients with fourteen-year follow-up. J Thorac Cardiovasc Surg. 1990 May;99(5):838–845. [PubMed] [Google Scholar]
  7. Hill L. D. Myths of the esophagus. J Thorac Cardiovasc Surg. 1989 Jul;98(1):1–10. [PubMed] [Google Scholar]
  8. Jegaden O., Perinetti M., Barthelet M., Vedrinne C., Delahaye F., Montagna P., Mikaeloff P. H. Long-term results of porcine bioprostheses in the tricuspid position. Eur J Cardiothorac Surg. 1992;6(5):256–260. doi: 10.1016/1010-7940(92)90108-a. [DOI] [PubMed] [Google Scholar]
  9. Jugdutt B. I., Fraser R. S., Lee S. J., Rossall R. E., Callaghan J. C. Long-term survival after tricuspid valve replacement. Results with seven different prostheses. J Thorac Cardiovasc Surg. 1977 Jul;74(1):20–27. [PubMed] [Google Scholar]
  10. Kay G. L., Morita S., Mendez M., Zubiate P., Kay J. H. Tricuspid regurgitation associated with mitral valve disease: repair and replacement. Ann Thorac Surg. 1989 Sep;48(3 Suppl):S93–S95. doi: 10.1016/0003-4975(89)90656-5. [DOI] [PubMed] [Google Scholar]
  11. Lambertz H., Minale C., Flachskampf F. A., Zander M., Bardos P., Messmer B. J., Hanrath P. Long-term follow-up after Carpentier tricuspid valvuloplasty. Am Heart J. 1989 Mar;117(3):615–622. doi: 10.1016/0002-8703(89)90736-9. [DOI] [PubMed] [Google Scholar]
  12. McGrath L. B., Gonzalez-Lavin L., Bailey B. M., Grunkemeier G. L., Fernandez J., Laub G. W. Tricuspid valve operations in 530 patients. Twenty-five-year assessment of early and late phase events. J Thorac Cardiovasc Surg. 1990 Jan;99(1):124–133. [PubMed] [Google Scholar]
  13. Morrison D. A., Ovitt T., Hammermeister K. E. Functional tricuspid regurgitation and right ventricular dysfunction in pulmonary hypertension. Am J Cardiol. 1988 Jul 1;62(1):108–112. doi: 10.1016/0002-9149(88)91373-2. [DOI] [PubMed] [Google Scholar]
  14. Nakano S., Kawashima Y., Hirose H., Matsuda H., Shimazaki Y., Taniguchi K., Kawamoto T., Watanabe S., Sakaki S. Evaluation of long-term results of bicuspidalization annuloplasty for functional tricuspid regurgitation. A seventeen-year experience with 133 consecutive patients. J Thorac Cardiovasc Surg. 1988 Feb;95(2):340–345. [PubMed] [Google Scholar]
  15. Paşaoğlu I., Demiricin M., Doğan R., Hatipğlu A., Günay I., Ersoy U., Böke E., Kes S., Bozer A. Y. De Vega's tricuspid annuloplasty: analysis of 195 patients. Thorac Cardiovasc Surg. 1990 Dec;38(6):365–369. doi: 10.1055/s-2007-1014052. [DOI] [PubMed] [Google Scholar]
  16. Rabago G., Fraile J., Martinell J., Artiz V. Technique and results of tricuspid annuloplasty. J Card Surg. 1986 Sep;1(3):247–253. doi: 10.1111/j.1540-8191.1986.tb00712.x. [DOI] [PubMed] [Google Scholar]
  17. Sanfelippo P. M., Giuliani E. R., Danielson G. K., Wallace R. B., Pluth J. R., McGoon D. C. Tricuspid valve prosthetic replacement. Early and late results with the Starr-Edwards prosthesis. J Thorac Cardiovasc Surg. 1976 Mar;71(3):441–445. [PubMed] [Google Scholar]
  18. Singh A. K., Feng W. C., Sanofsky S. J. Long-term results of St. Jude Medical valve in the tricuspid position. Ann Thorac Surg. 1992 Sep;54(3):538–540. doi: 10.1016/0003-4975(92)90450-i. [DOI] [PubMed] [Google Scholar]
  19. Thorburn C. W., Morgan J. J., Shanahan M. X., Chang V. P. Long-term results of tricuspid valve replacement and the problem of prosthetic valve thrombosis. Am J Cardiol. 1983 Apr;51(7):1128–1132. doi: 10.1016/0002-9149(83)90357-0. [DOI] [PubMed] [Google Scholar]
  20. Weerasena N., Spyt T. J., Pye M., Bain W. H. Clinical evaluation of the Björk-Shiley disc valve in the tricuspid position. Long-term results. Eur J Cardiothorac Surg. 1990;4(1):19–23. doi: 10.1016/1010-7940(90)90235-r. [DOI] [PubMed] [Google Scholar]

Articles from Journal of the National Medical Association are provided here courtesy of National Medical Association

RESOURCES