Browse > Article

Long Term Clinical Results of Triple Valve Replacement  

Yu, Song-Hyeon (Department of Thoracic & Cardiovascular Surgery, Yonsei Cardiovascular Center, Yonsei University College of Medicine)
Hong, You-Sun (Department of Thoracic & Cardiovascular Surgery, Yonsei Cardiovascular Center, Yonsei University College of Medicine)
Chang, Byung-Chul (Department of Thoracic & Cardiovascular Surgery, Yonsei Cardiovascular Center, Yonsei University College of Medicine)
Kang, Meyun-Shick (Department of Thoracic & Cardiovascular Surgery, Yonsei Cardiovascular Center, Yonsei University College of Medicine)
Lim, Sang-Hyun (Department of Thoracic & Cardiovascular Surgery, Yonsei Cardiovascular Center, Yonsei University College of Medicine)
Publication Information
Journal of Chest Surgery / v.38, no.10, 2005 , pp. 675-679 More about this Journal
Abstract
Background: Clinical reports on replacement of all three (AV + MV + TV) valves are rare. Material and Method: From January 1992 to December 2003, 38 patients received triple valve replacement (aortic, mitral, tricuspid) at Yonsei Cardiovascular Center. Mean age of patients was $49.5\pm10.7 (28\~69)$ years, and 24 patients $(63.1\%)$ were female. Rheumatic valve disease was the most common cause of operation (n=37). Preoperative New York Heart Association functional class were II in 4, III in 24 and IV in 10. Fifteen patients (group 1) received triple valve replacement at their first operation. Twenty three patients (group 2) received one or more operations before tricuspid valve replacement (TVR). Seven patients received tricuspid valve annuloplasty at first operation and received TVR later. Result: Six patients died at hospital after operation $(15.8\%)$ and all these patients were in group 2. All patients in group I survived and were discharged. Three patients $(9.4\%)$ died during follow up periods. Most of the survivors had improved functional class (I in 22, II in 8, III in 1, IV in 1). During follow up period, there were 4 valve related complications. The 10-year survival rate was $68.8\%$ and survival rate for free from valve related event at 10 years was $85.5\%$. Conclusion: After triple valve replacement, most patients showed improvement of symptoms. And during follow up period, valve related complications and survival were acceptable. Therefore, if indicated, triple valve replacement is recommended before the patients' conditions get worse.
Keywords
Heart valves; Heart valve replacement;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Michel PL, Houdart E, Ghanem G, Badaoui G, Hage A, Acar J. Combined aortic, mitral and tricuspid surgery: results in 78 patients. Eur Heart J 1987;8:457-63   DOI   ScienceOn
2 Yilmaz M, Ozkan M, Boke E. Triple valve surgery: a 25-year experience. Anadolu Kardiyol Derg 2004;4:205-8
3 Coll-Mazzei JV, Jegaden O, Janody P, Rumolo A, Bonnefoy JY, Mikaeloff P. Results of triple valve replacement: perioperative mortality and long term results. J Cardiovasc Surg 1987;28:369-73
4 Kaplan M, Kut MS, Demirtas MM, Cimen S, Ozler A. Prosthetic replacement of tricuspid valve: bioprosthetic or mechanical. Ann Thorac Surg 2002;73:467-73   DOI   ScienceOn
5 Gersh BJ, Schaff HV, Vatterott PJ, et al. Results of triple valve replacement in 91 patients: perioperative mortality and long term follow up. Circulation 1985;72:130-7   DOI   ScienceOn
6 Brown PS Jr, Roberts CS, McIntosh CL, Swain JA, Clark RE. Late results after triple-valve replacement with various substitute valves. Ann Thorac Surg 1993;55:502-8   DOI   ScienceOn
7 Carrier M, Pellerin M, Bouchard D, et al. Long term results with triple valve surgery. Ann Thorac Surg 2002;73:44-7   DOI   ScienceOn
8 Tayama E, Kawano H, Takaseya T, et al. Triple valve replacement with bileaflet mechanical valves: is the mechanical valve the proper choice for the tricuspid position? Jpn Circ J 2001;65:257-60   DOI   ScienceOn
9 Prabhakar G, Kumar N, Gometza B, Galal O, al-Halees Z, Duran CM. Triple valve operation in the young rheumatic patient. Ann Thorac Surg 1993;55:1492-6   DOI   ScienceOn
10 Kara M, Langlet MF, Blin D, et al. Triple valve procedures: an analysis of early and late results. Thorac Cardiovasc Surg 1986;34:17-21   DOI   ScienceOn