Tricuspid valve replacement subsequent to previous open heart surgery.

摘要: BACKGROUND AND AIMS OF THE STUDY Earlier surgical intervention to the mitral and/or aortic valve means that it will be uncommon replace tricuspid (TVR) in a patient who has not had prior open heart surgery. METHODS We report short and medium term results of consecutive series 14 patients underwent bioprosthetic TVR between December 1985 February 1993 at Hammersmith Hospital, UK. All undergone previous surgery on least one occasion. Mean age was 59 years (range: 45-77 years), 11 were female three male. Ten (72%) New York Heart Association class III or IV preoperatively, eight first time reoperations six second reoperations. RESULTS Hospital mortality 50% (7/14). Of these seven patients, NYHA There no 'on-the-table deaths' required reoperation for bleeding permanent pacing. For discharged from hospital, mean follow up 46 months (range 9-84 months) 100% complete. significant difference preoperative assessment data hospital group left (p > 0.05). discharged, four (57% this group, 28.5% all patients) showed an improvement classification reported reduction peripheral edema. Amongst survivors there freedom related complications. Within have been deaths since discharge, due biventricular failure. CONCLUSIONS From study we conclude cardiac is high risk procedure. Nonetheless, amongst survivors, benefit may gained by either edema class.