Mitral valve stenosis and pure tricuspid valve regurgitation: comparison of necropsy patients having simultaneous mitral and tricuspid valve replacements with necropsy patients having simultaneous mitral valve replacement and tricuspid valve anuloplasty

The American Journal of Cardiology
M F Sullivan, W C Roberts

Abstract

Clinical and morphologic observations are described in 30 patients (23 [77%] of whom were in functional class III or IV) who underwent replacement of the mitral valve for mitral stenosis and either simultaneous replacement (13 patients, group I) or anuloplasty (17 patients, group II) of the tricuspid valve for pure tricuspid valve regurgitation. Comparison of the 13 patients in group I with the 17 patients in group II disclosed similar mean ages (55 vs 58 years), similar average preoperative right ventricular systolic pressures (64 vs 61 mm Hg), similar average right atrial mean pressures (10 vs 9 mm Hg), similar average left ventricular systolic pressures (126 vs 120 mm Hg), similar average pulmonary artery wedge-left ventricular mean diastolic pressures (16 vs 18 mm Hg), similar cardiac indexes (2.1 vs 2.0 liters/min/m2), similar mean heart weights (507 vs 535 g), and similar percents with grossly visible foci of left ventricular necrosis (15% vs 12%) and fibrosis (23% vs 12%). Of the 13 patients in group I, 10 (77%) died early (less than or equal to 60 days of tricuspid valve replacement) and 3 (23%) died late (29, 37 and 120 months); of the 17 patients in group II, 14 (82%) died early and 3 (18%) died late (4, 9 and 98 mont...Continue Reading

Citations

Nov 1, 1989·Journal of the American College of Cardiology·H K ChopraA Pacifico
Nov 1, 1994·Giornale italiano di cardiologia·A AlbertiA Actis Dato
Apr 1, 1996·American Heart Journal·J M RiveraJ D Thomas
Feb 1, 1987·The Annals of Thoracic Surgery·M ChidambaramM I Ionescu
Nov 1, 1976·The Annals of Thoracic Surgery·J H KayP Zubiate
Dec 17, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Dong Seop Jeong, Kyung-Hwan Kim
Dec 24, 2008·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·K M John ChanPhilip J Kilner
Nov 15, 1986·The American Journal of Cardiology·W C Roberts, M F Sullivan
Apr 27, 2010·The Annals of Thoracic Surgery·John M StulakHartzell V Schaff
Feb 4, 2006·Cardiology in the Young·Robert M FreedomRobert H Anderson
Nov 1, 1989·Meditsinskaia tekhnika·R A KevorkovaN B Dobrova
Feb 1, 2013·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Tsuneo AriyoshiKiyoyuki Eishi
Jul 20, 2007·Proceedings·William C Roberts, W Bruce Fye
Sep 28, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Manuel J AntunesUNKNOWN ESC Working Groups of Cardiovascular Surgery and Valvular Heart Disease

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