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摘要
OBJECTIVES: Tricuspid valve reoperation (TVR) following left-sided valve surgery (LSVS) is a high-risk procedure. This study was conducted to analyse the mid-term results and risks of isolated TVR following LSVS. @@@ METHODS: From May 2007 to December 2016, 91 patients who underwent isolated TVR following LSVS were enrolled in this study. @@@ RESULTS: The patients comprised 23 men and 68 women with a mean age of 57.5 +/- 8.0years (range 33-75years) The in-hospital mortality rate was 2.2% (2 of 91 patients). Fourteen (15.4%) procedures were performed through a median sternotomy, whereas 77 (84.6%) were performed through a right thoracotomy One patient underwent tricuspid valve repair, while the others underwent valve replacement including 16 (17.6%) cases involving mechanical valves and 74 (81.3%) involving tissue valves Eight (9.0%) deaths occurred during the follow-up at 9.21 +/- 18 .8 months (range 1-108 months), including 5 cardiac deaths The Kaplan-Meier survival rates at 1 year and 5 years were 97.7% and 90.0%, respectively Previous aortic and mitral valve replacement [odds ratio (OR) 0.161, P = 0.0015], preoperative central venous pressure (OR 1.202, P = 0.0353), pulmonary artery pressure (OR 1.075, P = 0.0134) and left ventricular end-systolic diameter (OR 1.13, P = 0.0155) were the risk factors fora longer intensive care duration The valve type had no significant effect on the survival of patients who had undergone valve replacement. @@@ CONCLUSIONS: Isolated TVR is a safe and effective surgery for tricuspid valve lesions following LSVS, and right thoracotomy may be a reasonable choice.
- 出版日期2018-5
- 单位上海交通大学
