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Short- and Long-Term Results of Triple Valve Surgery: A Single Center Experience
- Source :
- Journal of Korean Medical Science
- Publication Year :
- 2009
- Publisher :
- Korean Academy of Medical Sciences, 2009.
-
Abstract
- Triple valve surgery is usually complex and carries a reported operative mortality of 13% and 10-yr survival of 61%. We examined surgical results based on our hospital's experience. A total of 160 consecutive patients underwent triple valve surgery from 1990 to 2006. The most common aortic and mitral valve disease was rheumatic disease (82%). The most common tricuspid valve disease was functional regurgitation (80%). Seventy-four percent of the patients were in New York Heart Association (NYHA) class III and IV. Univariate and multivariable analyses were performed to identify predictors of early and late survival. Operative mortality was 6.9% (n=11). Univariate factors associated with mortality included old age, preoperative renal failure, postoperative renal failure, pulmonary complications, and stroke. Of them, postoperative renal failure and stroke were associated with mortality on multivariable analysis. Otherwise, neither tricuspid valve replacement nor reoperation were statistically associated with late mortality. Survival at 5 and 10 yr was 87% and 84%, respectively. Ninety-two percent of the patients were in NYHA class I and II at their most recent follow-up. Ten-year freedom from prosthetic valve endocarditis was 97%; from anticoagulation-related hemorrhage, 82%; from thromboembolism, 89%; and from reoperation, 84%. Postoperative renal failure and stroke were significantly related with operative mortality. Triple valve surgery, regardless of reoperation and tricuspid valve replacement, results in acceptable long-term survival.
- Subjects :
- Adult
Male
Reoperation
Aortic valve
medicine.medical_specialty
Triple valve surgery
Heart Valve Diseases
Hemorrhage
Regurgitation (circulation)
Single Center
Severity of Illness Index
Postoperative Complications
Risk Factors
Thromboembolism
Internal medicine
Mitral valve
Severity of illness
medicine
Humans
Renal Failure
Renal Insufficiency
Intraoperative Complications
Stroke
Survival analysis
Aged
Heart Valve Prosthesis Implantation
Tricuspid valve
business.industry
Anticoagulants
General Medicine
Middle Aged
medicine.disease
Survival Analysis
Surgery
medicine.anatomical_structure
Aortic Valve
Cardiology
Mitral Valve
Female
Original Article
Tricuspid Valve
business
Subjects
Details
- ISSN :
- 10118934
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Journal of Korean Medical Science
- Accession number :
- edsair.doi.dedup.....3badb173b3800ec19a3a1a9fb942547e