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Thorac Cardiovasc Surg 1986; 34(1): 17-21
DOI: 10.1055/s-2007-1020365
© Georg Thieme Verlag Stuttgart · New York

Triple Valve Procedures: An Analysis of Early and Late Results

M. Mostefa Kara, F. Langlet, D. Blin, A. Mouly, Ch. Avierinos, A. Goudard, J. R. Monties
  • Service Chirurgie Cardiaque, Hopital Salvator, University of Marseille, Marseille, France
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Publication History

1983

Publication Date:
19 March 2008 (online)

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Summary

This study summarizes the results in 107 patients with triple valve procedures (TVP) performed between 1972 and 1983. Forty-five patients underwent double valve replacement with tricuspid annuloplasty, and 62 simultaneous triple valve replacement.

The hospital mortality was 19.6 % (21 patients) and was influenced by:

  • the preoperative functional class: 4.7 % (1 of 22 patients) in class II, 13.7 % (7 of 51) in class III and 37.2 % (13 of 35) in class IV (p < 0.05).

  • the urgency of operation: 13.2 % in elective operations (11 of 83 patients) and 41.6 % for emergencies (10 of 24) (p < 0.02)

  • the type of tricuspid procedure: 15.5 % for annuloplasty (7 of 45 patients), 21.1 % for bioprosthetic replacement (11 of 52) and 30 % for mechanical valve replacement (3 of 10) (p < 0.05). Other factors such as patient age, right ventricular systolic pressure (RVSP) and type of myocardial protection had no significant influence.

The late mortality was 9 % per patient-year (18 patients, 9 of whom died in the first year), the majority related to cardiac causes. The 5-year survival rate was 53 %. It appears that the survival rate is higher if the patient is in preoperative functional class II (55 %), the right ventricular pressure is below 60 mmHg (67 %), and if the operation is performed electively (57 %).

The findings suggest that surgery should continue to be offerred to such patients.

Key words

Triple valve replacement - Bioprosthesis - Tricuspid annuloplasty