TY - JOUR
T1 - Late Results of Triple Valve Replacement
T2 - A 14-Year Review
AU - Macmanus, Quentin
AU - Grunkemeier, Gary
AU - Starr, Albert
N1 - Funding Information:
From the Division of Cardiopulmonary Surgery, University of Oregon Health Sciences Center, Portland, OR. Supported by US Public Health Service Grant HL-16461. Accepted for publication Nov 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.
PY - 1978
Y1 - 1978
N2 - 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.
AB - 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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U2 - 10.1016/S0003-4975(10)63573-4
DO - 10.1016/S0003-4975(10)63573-4
M3 - Article
C2 - 646509
AN - SCOPUS:0017836386
SN - 0003-4975
VL - 25
SP - 402
EP - 406
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 5
ER -