Mitral and tricuspid valve repair in patients with previous mediastinal radiation therapy

The Annals of Thoracic Surgery
Juan A CrestanelloH V Schaff

Abstract

The purpose of this study was to evaluate outcomes of mitral and tricuspid valve repair after mediastinal radiation therapy. From 1976 to 2001, 22 patients (mean age 61 +/- 14 years) underwent mitral (n = 14), tricuspid (n = 6), or both (n = 2) valve repairs 15 +/- 9 years after mediastinal radiation therapy. Concomitant procedures included coronary artery bypass graft, 11 patients; valve replacement, 6 patients (4 aortic, 3 mitral, 1 tricuspid, and 1 pulmonary); and pericardiectomy, 4 patients. Total follow-up was 82.5 patient-years (mean 3.7 +/- 3.3 years). Early mortality was 3 patients. There were 7 late deaths, 4 of which were of cardiovascular origin. Of the 19 early survivors, 2 required subsequent valve replacements, and 1 required cardiac transplantation 3.4 +/- 2.8 years after valve repair. One patient died after reoperation. In 4 patients who did not undergo reoperation, echocardiographic examinations showed progressive deterioration of their repaired valve function. Overall survival, freedom from cardiac death, and freedom from valve reoperation or cardiac transplantation at 5 years for early survivors was 66%, 85%, and 88%, respectively. New York Heart Association functional class at follow-up was I or II in 8 of t...Continue Reading

References

Nov 1, 1990·International Journal of Radiation Oncology, Biology, Physics·L E Holm
Aug 15, 1987·Cancer·G S LedermanC N Coleman
Oct 27, 1993·JAMA : the Journal of the American Medical Association·S L HancockR T Hoppe
Oct 23, 1998·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·G GyenesT Fornander
Jun 3, 2000·Transplant International : Official Journal of the European Society for Organ Transplantation·N HandaR J Rodeheffer
Feb 15, 2002·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Katherine A VallisAndreas Wielgosz
Dec 17, 2002·Critical Reviews in Oncology/hematology·M Jacob AdamsSteven E Lipshultz
Jul 1, 1965·Annals of Surgery·J H KAYK K TSUJI

❮ Previous
Next ❯

Citations

Apr 21, 2007·General Thoracic and Cardiovascular Surgery·Atsushi TamuraMasayoshi Katsumata
Jan 12, 2008·The Heart Surgery Forum·B NyawoS C Clark
Mar 5, 2010·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·S SiregarL A van Herwerden
Apr 24, 2014·Current Treatment Options in Cardiovascular Medicine·Margot Davis, Ronald M Witteles
Dec 3, 2014·The Annals of Thoracic Surgery·Pankaj SaxenaBrooks S Edwards
Sep 10, 2013·The American Journal of Cardiology·Michael S LeeEhtisham Mahmud
Mar 21, 2012·The Journal of Thoracic and Cardiovascular Surgery·Donald GlowerUNKNOWN EVEREST II Investigators
Oct 1, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Darian C RiceKent H Rehfeldt
Jan 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Albert S Y ChangBruce W Lytle
Apr 26, 2005·Journal of the American College of Surgeons·David A Fullerton
Sep 5, 2014·Interactive Cardiovascular and Thoracic Surgery·Dong Zhao, Benqing Zhang
Mar 10, 2015·The Journal of Thoracic and Cardiovascular Surgery·Srisakul ChirakarnjanakornMilind Y Desai
Apr 16, 2013·Journal of the American College of Cardiology·Catherine JaworskiDavid M Kaye
Oct 3, 2012·The Journal of Thoracic and Cardiovascular Surgery·Nicole A NadlonekDavid A Fullerton
Dec 15, 2015·Heart·Dorothy M GujralSanjeev Bhattacharyya
Jan 18, 2006·Journal of the American College of Cardiology·Shahbudin H Rahimtoola
Mar 2, 2018·Expert Opinion on Pharmacotherapy·Nathalie DonisPatrizio Lancellotti
Jun 5, 2019·Current Treatment Options in Cardiovascular Medicine·Katherine Lee ChuyDipti Gupta
Jan 24, 2020·Journal of Cardiac Surgery·Onur B DolmaciAbdullah Kaya
Apr 26, 2019·Current Treatment Options in Cardiovascular Medicine·Eoin DonnellanBrian P Griffin
Oct 12, 2020·Current Cardiology Reports·Samantha XuMilind Y Desai
Dec 29, 2020·Problemy Radiat︠s︡iĭnoï Medyt︠s︡yny Ta Radiobiolohiï·S M KozhukhovN V Tkhor
Feb 21, 2021·Seminars in Thoracic and Cardiovascular Surgery·James A BrownIbrahim Sultan
Apr 17, 2021·Frontiers in Cardiovascular Medicine·Eric H YangCezar Iliescu
Sep 12, 2021·Seminars in Thoracic and Cardiovascular Surgery·Siddharth PahwaKevin Greason
Sep 17, 2021·Frontiers in Cardiovascular Medicine·Manon MeermanCarlijn V C Bouten

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Blood And Marrow Transplantation

The use of hematopoietic stem cell transplantation or blood and marrow transplantation (bmt) is on the increase worldwide. BMT is used to replace damaged or destroyed bone marrow with healthy bone marrow stem cells. Here is the latest research on bone and marrow transplantation.

B-Cell Lymphoma

B-cell lymphomas include lymphomas that affect B cells. This subtype of cancer accounts for over 80% of non-Hodgkin lymphomas in the US. Here is the latest research.

Related Papers

The Journal of Thoracic and Cardiovascular Surgery
Albert S Y ChangBruce W Lytle
The Annals of Thoracic Surgery
R S Veeragandham, M D Goldin
Journal of the American College of Cardiology
Paul A HeidenreichIngela Schnittger
© 2021 Meta ULC. All rights reserved