A one-year comparison of prophylactic donor tricuspid annuloplasty in heart transplantation

The Annals of Thoracic Surgery
Valluvan JeevanandamJaishankar Raman

Abstract

The bicaval technique for orthotopic heart transplantation decreases the incidence of tricuspid valve regurgitation when compared with the standard biatrial technique. This study was designed to study the effects of prophylactic tricuspid valve annuloplasty during bicaval orthotopic heart transplantation on survival, renal function, and amount of tricuspid valve regurgitation. Between April 1997 and March 1998, 60 patients (age 18 to 70 years, 22 women) randomly received either bicaval orthotopic heart transplantation (n = 30) or bicaval orthotopic heart transplantation with DeVega tricuspid valve annuloplasty (n = 30). Tricuspid valve annuloplasty was performed on the donor heart before implantation using pledgeted 2-0 polypropylene suture and sized to an annulus of 29 mm. Echocardiographic variables, laboratory values, and hemodynamics were obtained prospectively and reviewed by an independent data analyst. Intraoperatively, the group undergoing tricuspid valve annuloplasty had a shorter reperfusion time (46 +/- 29 minutes versus 65 +/- 48 minutes; p < 0.05) and higher mean pulmonary artery to central venous pressure difference (11.8 +/- 3.7 mm Hg versus 15.3 +/- 4.1 mm Hg; p = 0.001). Additional differences between the two g...Continue Reading

References

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Citations

Jan 18, 2006·Annual Review of Medicine·Abdulaziz Al-khaldi, Robert C Robbins
May 26, 2009·The Journal of Thoracic and Cardiovascular Surgery·Daniel MarelliRichard J Shemin
Dec 2, 2008·Journal of Cardiac Failure·Micha T MaederDavid M Kaye
Nov 3, 2007·The Journal of Thoracic and Cardiovascular Surgery·Maike SchnoorHans H Sievers
Nov 28, 2006·The Annals of Thoracic Surgery·Valluvan JeevanandamJaishankar Raman
May 3, 2005·Journal of the American College of Cardiology·Robert H Jones
Oct 24, 2007·Transplantation Proceedings·A I FiorelliE A Bocchi
Jul 6, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Geoffrey C RamsdellHarish Ramakrishna
Aug 11, 2020·Biomedicine Hub·Moghniuddin MohammedZubair Shah

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