Late results of triple valve replacement

a 14-year review

Q. Macmanus, G. Grunkemeier, Albert Starr

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Forty-eight patients have undergone simultaneous triple valve replacement at the authors' 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 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.

Original languageEnglish (US)
Pages (from-to)402-406
Number of pages5
JournalAnnals of Thoracic Surgery
Volume25
Issue number5
StatePublished - 1978

Fingerprint

Prostheses and Implants
Rheumatic Heart Disease
Tricuspid Valve
Natural History
Survivors
Heart Failure
Survival

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Macmanus, Q., Grunkemeier, G., & Starr, A. (1978). Late results of triple valve replacement: a 14-year review. Annals of Thoracic Surgery, 25(5), 402-406.

Late results of triple valve replacement : a 14-year review. / Macmanus, Q.; Grunkemeier, G.; Starr, Albert.

In: Annals of Thoracic Surgery, Vol. 25, No. 5, 1978, p. 402-406.

Research output: Contribution to journalArticle

Macmanus, Q, Grunkemeier, G & Starr, A 1978, 'Late results of triple valve replacement: a 14-year review', Annals of Thoracic Surgery, vol. 25, no. 5, pp. 402-406.
Macmanus Q, Grunkemeier G, Starr A. Late results of triple valve replacement: a 14-year review. Annals of Thoracic Surgery. 1978;25(5):402-406.
Macmanus, Q. ; Grunkemeier, G. ; Starr, Albert. / Late results of triple valve replacement : a 14-year review. In: Annals of Thoracic Surgery. 1978 ; Vol. 25, No. 5. pp. 402-406.
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