Is a bioprosthesis preferable in tricuspid valve replacement?

The Thoracic and Cardiovascular Surgeon
J HayashiS Eguchi

Abstract

We reviewed clinical data on 29 patients (17 acquired disease and 12 congenital disease) who underwent tricuspid valve replacement using a Carpentier-Edwards porcine valve or a St. Jude Medical valve at Niigata University Hospital between January 1978 and October 1995, and analyzed risks related to the outcome. Age ranged from 8 to 62 years, and 17 females were included. New York Heart Association functional class was IV in 9 patients (31%). Previous valve surgery had been performed in 10 patients (34%). An urgent surgery was required in 4 patients and simultaneous mitral (with aortic) valve replacement in 13 (45%). Mean follow-up period was 6.7 years. Hospital mortality occurred in 5 patients (17.2%) and all of them had acquired valvular diseases with functional class IV. There were 6 late deaths and none of them related to the tricuspid prosthesis. Nonfatal morbidity occurred in 2 patients (a thrombosed valve and a chronic hemolytic anemia) with a St. Jude valve. Late functional class was I or II in all patients except 3 with severe left-ventricular dysfunction or bioprosthetic failure. Late postoperative echocardiographic examination showed moderate tricuspid stenosis or regurgitation in 3 patients with a Carpentier-Edwards ...Continue Reading

Citations

Feb 4, 1999·The Annals of Thoracic Surgery·G RizzoliD Casarotto
Apr 25, 2000·Heart and Vessels·A RenzulliM Cotrufo
Apr 28, 2004·The Annals of Thoracic Surgery·Giulio RizzoliLaura Schiavon
Oct 29, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·H KawanoS Aoyagi
Jan 4, 2007·Circulation·Heather L BartlettJames H Moller
Feb 13, 2013·Nature Reviews. Cardiology·Sung Ho Shinn, Hartzell V Schaff

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