Surgical treatment of acquired tricuspid stenosis
There is no definitive surgical procedure for acquired lesions of the tricuspid valve (TV). From Feb, 1978, through March, 1990, the surgical treatment for the organic lesions of TV was performed in 10 patients, repair in 6 and TV replacement in 4. TV was repaired by commissurotomy, annuloplasty or valvuloplasty, or combination of them. When residual significant tricuspid regurgitation (TR) and/or stenosis (TS) was detected by intraoperative pulsed Doppler echocardiography after reparative procedures, TV was replaced. Follow-up periods ranged from 1 to 12 years (mean, 45.3 months). There was no early death, and late death was noted in one patient 32 months after operation. Preoperatively, 7 patients were in NYHA class IV and 3 in class III. Out of survivors, 7 are in class I and 2 in class II because of progression of mitral stenosis or coronary artery disease. Following surgery, the patients exhibited significant decrease in the cardiothoracic ratio (69.3 +/- 7.2 to 56.9 +/- 6.4%; p less than 0.01) and in the mean right atrial pressure (11.4 +/- 3.6 to 8.6 +/- 3.1 mmHg; p less than 0.05). The postoperative right ventriculography showed mild to moderate TR in 3 of 6 patients who underwent TV repair. In conclusion, TV repair could be a reasonable procedure for the organic TV lesions, although careful follow-up is recommended for residual TR.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
1992 |
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| Erschienen: |
1992 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:40 |
|---|---|
| Enthalten in: |
Zasshi] [Journal]. Nihon Kyobu Geka Gakkai - 40(1992), 1 vom: 08. Jan., Seite 61-5 |
| Sprache: |
Japanisch |
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| Beteiligte Personen: |
Tanaka, M [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 15.05.1992 Date Revised 27.07.2011 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM015458490 |
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|---|---|---|---|
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| 007 | tu | ||
| 008 | 231221s1992 xx ||||| 00| ||jpn c | ||
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| 100 | 1 | |a Tanaka, M |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Surgical treatment of acquired tricuspid stenosis |
| 264 | 1 | |c 1992 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a Date Completed 15.05.1992 | ||
| 500 | |a Date Revised 27.07.2011 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a There is no definitive surgical procedure for acquired lesions of the tricuspid valve (TV). From Feb, 1978, through March, 1990, the surgical treatment for the organic lesions of TV was performed in 10 patients, repair in 6 and TV replacement in 4. TV was repaired by commissurotomy, annuloplasty or valvuloplasty, or combination of them. When residual significant tricuspid regurgitation (TR) and/or stenosis (TS) was detected by intraoperative pulsed Doppler echocardiography after reparative procedures, TV was replaced. Follow-up periods ranged from 1 to 12 years (mean, 45.3 months). There was no early death, and late death was noted in one patient 32 months after operation. Preoperatively, 7 patients were in NYHA class IV and 3 in class III. Out of survivors, 7 are in class I and 2 in class II because of progression of mitral stenosis or coronary artery disease. Following surgery, the patients exhibited significant decrease in the cardiothoracic ratio (69.3 +/- 7.2 to 56.9 +/- 6.4%; p less than 0.01) and in the mean right atrial pressure (11.4 +/- 3.6 to 8.6 +/- 3.1 mmHg; p less than 0.05). The postoperative right ventriculography showed mild to moderate TR in 3 of 6 patients who underwent TV repair. In conclusion, TV repair could be a reasonable procedure for the organic TV lesions, although careful follow-up is recommended for residual TR | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Takeuchi, E |e verfasserin |4 aut | |
| 700 | 1 | |a Watanabe, T |e verfasserin |4 aut | |
| 700 | 1 | |a Tamaki, S |e verfasserin |4 aut | |
| 700 | 1 | |a Tajima, K |e verfasserin |4 aut | |
| 700 | 1 | |a Maseki, T |e verfasserin |4 aut | |
| 700 | 1 | |a Usui, A |e verfasserin |4 aut | |
| 700 | 1 | |a Hirate, Y |e verfasserin |4 aut | |
| 700 | 1 | |a Sawazaki, M |e verfasserin |4 aut | |
| 700 | 1 | |a Abe, T |e verfasserin |4 aut | |
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| 773 | 1 | 8 | |g volume:40 |g year:1992 |g number:1 |g day:08 |g month:01 |g pages:61-5 |
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