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 Nakano, S. Articles by Sakaki, S. Search for Related Content PubMed PubMed Citation Articles by Nakano, S. Articles by Sakaki, S.

The Journal of Thoracic and Cardiovascular Surgery, Vol 95, 340-345, Copyright © 1988 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Evaluation of long-term results of bicuspidalization annuloplasty for functional tricuspid regurgitation. A seventeen-year experience with 133 consecutive patients

S Nakano, Y Kawashima, H Hirose, H Matsuda, Y Shimazaki, K Taniguchi, T Kawamoto, S Watanabe and S Sakaki
First Department of Surgery, Osaka University Medical School, Japan.

Between 1968 and 1985, 133 consecutive patients underwent bicuspidalization annuloplasty for moderate to severe functional tricuspid regurgitation associated with mitral or combined mitral and aortic valve disease. Over this period, the incidence of tricuspid valve replacement was only 2.3% (3/136 patients). There were 18 early deaths (13.5%) in the entire series--three (5.0%) of 60 patients in the last 5 years of the study--and 10 late deaths (8.7%). Actuarial survival rate for the entire series, excluding early deaths, was 91.0% +/- 3.0% at 10 and 17 years. There were seven reoperations (6.1%) on the tricuspid valve, needed because of residual or recurrent mitral valve lesions after the initial operation. Actuarial rates of freedom from reoperation on the tricuspid valve were 93.6% +/- 3.0% (10 years) and 69.7% +/- 16% (17 years) for the entire series: 78% +/- 10% (15 years) for the open mitral commissurotomy plus tricuspid annuloplasty group (44 patients); 90% +/- 9.0% (15 years) for the mitral plus tricuspid annuloplasty group (10); 75.2% +/- 22% (17 years) for the mitral replacement plus tricuspid annuloplasty group (58); and 92.6% +/- 7.0% (16 years) for the combined aortic and mitral valve surgery plus tricuspid annuloplasty group (21). Ninety-eight percent of the survivors were in New York Heart Association class I or II postoperatively. Of 21 randomly selected patients investigated by pulsed Doppler echocardiography, 14 (67%) had no regurgitation or grade 1/4 tricuspid regurgitation and the remaining seven (33%) had grade 2/4 regurgitation postoperatively. Our experiences suggest that bicuspidalization annuloplasty can be a reliable method in the vast majority of patients with functional tricuspid regurgitation.

This article has been cited by other articles:

				S. Pande, S. K Agarwal, G. Majumdar, A. Kapoor, N. Kale, and A. Kundu Valvuloplasty in the Treatment of Rheumatic Tricuspid Disease Asian Cardiovasc Thorac Ann, April 1, 2008; 16(2): 107 - 111. [Abstract] [Full Text] [PDF]

				G. H. L. Tang, T. E. David, S. K. Singh, M. D. Maganti, S. Armstrong, and M. A. Borger Tricuspid Valve Repair With an Annuloplasty Ring Results in Improved Long-Term Outcomes Circulation, July 4, 2006; 114(1_suppl): I-577 - I-581. [Abstract] [Full Text] [PDF]

				T. Sugimoto, M. Okada, N. Ozaki, T. Hatakeyama, and T. Kawahira LONG-TERM EVALUATION OF TREATMENT FOR FUNCTIONAL TRICUSPID REGURGITATION WITH REGURGITANT VOLUME: CHARACTERISTIC DIFFERENCES BASED ON PRIMARY CARDIAC LESION J. Thorac. Cardiovasc. Surg., March 1, 1999; 117(3): 463 - 471. [Abstract] [Full Text] [PDF]

				C. T. Bajzer, W. J. Stewart, D. M. Cosgrove, S. J. Azzam, K. L. Arheart, and A. L. Klein Tricuspid valve surgery and intraoperative echocardiography: Factors affecting survival, clinical outcome, and echocardiographic success J. Am. Coll. Cardiol., October 1, 1998; 32(4): 1023 - 1031. [Abstract] [Full Text] [PDF]

				A.-T. Miyamoto Transatrial Atrioventricular Valve Testing in the Beating, Fully Loaded Heart Ann. Thorac. Surg., April 1, 1996; 61(4): 1265 - 1266. [Abstract] [Full Text]

				J. B. Choi, H. K. Kim, H. S. Yoon, and J. W. Jeong Partial Annular Plication for Atrioventricular Valve Regurgitation Ann. Thorac. Surg., April 1, 1995; 59(4): 891 - 895. [Abstract] [Full Text]