Durability of bioprostheses for the tricuspid valve in patients with congenital heart disease

医学 反流(循环) 心脏病学 三尖瓣 内科学 外科 假肢 舒张期 存活率 三尖瓣关闭不全 死亡率 血压
作者
Melchior Burri,Manfred Vogt,Jürgen Hörer,Julie Cleuziou,Jelena Kašnar-Šamprec,Andreas Kühn,Rüdiger Lange,Christian Schreiber
出处
期刊:European Journal of Cardio-Thoracic Surgery [Oxford University Press]
卷期号:50 (5): 988-993 被引量:26
标识
DOI:10.1093/ejcts/ezw094
摘要

Only little data exist on the durability of bioprostheses in the tricuspid position in patients with congenital heart disease (CHD). The aim of the study was to determine the reoperation rate and the valve function after primary implantation.Between 1990 and 2013, 51 patients with CHD underwent tricuspid valve (TV) replacement with a bioprosthesis. The median age at operation was 32 years (range: 8-69). The underlying morphology was Ebstein's anomaly in 62% of the patients. Implanted valves included 38 pericardial and 13 porcine valves. All available echocardiographic examinations (n = 714) and clinical data were retrospectively reviewed. Dysfunction was defined as an at least moderate regurgitation or a mean diastolic gradient ≥9 mmHg. Freedom from death, reoperation and prosthetic valve dysfunction was estimated using the Kaplan-Meier method.The 30-day mortality rate was 9%. The estimated survival rate was 86% at one and 80% at ten years. The freedom from reoperation at 1, 5 and 10 years was 100, 86 and 81%, and that from prosthesis dysfunction detected by echocardiography at 1, 5 and 10 years was 89, 66 and 58%, respectively. The main reason for dysfunction was insufficiency (89%). Valve implantation at an age below 16 years was associated with earlier reoperation and dysfunction (the 5-year freedom rate from reoperation/dysfunction was 70%/30% compared with 89%/78% in the rest of the patients, P = 0.016/0.0009).Serial echocardiography shows a high rate of dysfunction of TV bioprosthesis in patients with CHD, which already occurred a few years after implantation. In patients below 16 years of age, most prostheses are dysfunctional within 5 years.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
芳心纵火犯完成签到,获得积分10
刚刚
量子星尘发布了新的文献求助10
2秒前
3秒前
玛卡巴卡发布了新的文献求助10
6秒前
7秒前
yuaasusanaann发布了新的文献求助10
8秒前
9秒前
guoke完成签到,获得积分10
9秒前
georgia_qiao完成签到,获得积分10
9秒前
13秒前
14秒前
粥喝不喝发布了新的文献求助10
15秒前
15秒前
16秒前
汪汪完成签到,获得积分10
16秒前
karL完成签到,获得积分10
17秒前
Adon完成签到,获得积分10
17秒前
17秒前
Cuillli发布了新的文献求助10
18秒前
小马甲应助硕心采纳,获得10
20秒前
yydragen应助七月流火采纳,获得50
21秒前
21秒前
23秒前
夕夕口口发布了新的文献求助10
23秒前
24秒前
Chao123_完成签到,获得积分10
25秒前
香蕉觅云应助shi采纳,获得10
27秒前
龚幻梦发布了新的文献求助10
27秒前
27秒前
天天快乐应助轻松的贞采纳,获得10
28秒前
123发布了新的文献求助10
29秒前
玉ER完成签到,获得积分10
30秒前
30秒前
幽默梦之完成签到 ,获得积分10
30秒前
SMHILU发布了新的文献求助10
30秒前
科研通AI2S应助jerry采纳,获得10
31秒前
32秒前
33秒前
yydragen应助弥生妖刀采纳,获得30
34秒前
无恙发布了新的文献求助10
34秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Effective Learning and Mental Wellbeing 400
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3975953
求助须知:如何正确求助?哪些是违规求助? 3520269
关于积分的说明 11201866
捐赠科研通 3256738
什么是DOI,文献DOI怎么找? 1798436
邀请新用户注册赠送积分活动 877578
科研通“疑难数据库(出版商)”最低求助积分说明 806464