Short- and long-term outcomes of surgery for severe tricuspid regurgitation: Algerian experience - 25/12/18
Résumé |
Introduction and objectives |
There is little data available for Algeria on the outcomes of surgical treatment for severe tricuspid regurgitation. The aim of this study was to analyze clinical and echocardiographic outcomes in a series of patients who received surgical treatment for severe tricuspid regurgitation and to compare outcomes according to the operative approach to valve repair or replacement.
Methods |
Retrospective study in 239 consecutive patients with severe tricuspid regurgitation undergoing valve surgery between April 2006 and February 2014 in military hospitals of Algeria and Constantine.
Results |
A total of 112 ringless and 85 ring annuloplasties were performed and 9 bioprostheses and 33 mechanical prostheses were implanted. Perioperative mortality was 18.5% and was associated with age and cardiopulmonary bypass time. During clinical follow-up (median, 41 [interquartile range, 24–89] months), 2 reoperations were required in the ring annuloplasty and mechanical prosthesis groups; prosthetic thrombosis was diagnosed in 4 patients in the latter group. Total mortality after follow-up was 29.9% and was associated with age >70 years and extracorporeal circulation time. The emergence of new severe tricuspid regurgitation was associated with age and ringless annuloplasty (P=0.04).
Conclusions |
Ringless repair was significantly associated with recurrence of severe tricuspid regurgitation. The use of mechanical prostheses was associated with a high rate of thrombosis. No significant differences in perioperative or total mortality were found between the different methods used for repair or valve replacement.
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Vol 11 - N° 1
P. 76 - janvier 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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