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Increased risk of dehiscence after tricuspid valve repair with rigid annuloplasty rings
- Source :
- The Journal of Thoracic and Cardiovascular Surgery. 143:1050-1055
- Publication Year :
- 2012
- Publisher :
- Elsevier BV, 2012.
-
Abstract
- ObjectivesSurgical management of tricuspid valve regurgitation mainly consists of tricuspid valve annuloplasty, usually performed with implantation of a rigid ring or a flexible band.MethodsWe performed a retrospective analysis on 820 patients who underwent tricuspid valve repair between March 2002 and July 2009 with either a flexible Cosgrove-Edwards band (n = 415; Edwards Lifesciences LLC, Irvine, Calif) or a rigid Carpentier-Edwards Classic annuloplasty ring (n = 405; Edwards Lifesciences). Mean patient age was 69.2 ± 9.5 years, 54.1% were female, and average logistic EuroSCORE was 13.3% ± 12.5%. Concomitant procedures were performed in 94.6% of patients (mitral valve surgery, 80.6%; aortic valve surgery, 28.2%; coronary artery bypass grafting, 24.5%; atrial fibrillation ablation, 44.5%). One fifth of the operations were reoperative procedures. Follow-up was 94% complete, with mean duration of 21.0 ± 19.0 months.ResultsThirty-day mortality was 10.1% (Cosgrove-Edwards, 11.9%; Carpentier-Edwards, 8.4%), and 5-year survival was 62.4% (Carpentier-Edwards, 64.7%; Cosgrove-Edwards, 60.3%). Postoperative echocardiography showed significant improvement in tricuspid valve function, with reduction in tricuspid regurgitation grade from 2.3 ± 0.7 to 0.7 ± 0.7, and no differences between groups. Use of a Carpentier-Edwards ring, however, was associated with significantly higher risk of dehiscence (Carpentier-Edwards, 8.7%; Cosgrove-Edwards, 0.9%; P
- Subjects :
- Male
Reoperation
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Time Factors
Kaplan-Meier Estimate
Regurgitation (circulation)
Dehiscence
Prosthesis Design
Risk Assessment
Cardiac Valve Annuloplasty
Surgical Wound Dehiscence
Tricuspid Valve Insufficiency
Risk Factors
Germany
Internal medicine
Odds Ratio
medicine
Humans
Aged
Retrospective Studies
Ultrasonography
Heart Valve Prosthesis Implantation
Tricuspid valve
business.industry
Atrial fibrillation
Middle Aged
medicine.disease
Surgery
Treatment Outcome
medicine.anatomical_structure
Heart Valve Prosthesis
Cardiology
Female
Tricuspid Valve
Tricuspid Valve Regurgitation
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 00225223
- Volume :
- 143
- Database :
- OpenAIRE
- Journal :
- The Journal of Thoracic and Cardiovascular Surgery
- Accession number :
- edsair.doi.dedup.....d5d03a90740481cb312363ac66efd118