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Related Experiment Videos

Long-term results with triple valve surgery.

Michel Carrier1, Michel Pellerin, Denis Bouchard

  • 1Department of Medicine and Surgery, Montreal Heart Institute, University of Montreal, Quebec, Canada. carrier@icm.umontreal.ca

The Annals of Thoracic Surgery
|February 9, 2002
PubMed
Summary

Triple valve surgery using mechanical or biological prostheses offers acceptable long-term survival for both primary and reoperative cases. This study reviewed 73 patients, analyzing outcomes of various valve repair and replacement techniques.

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Area of Science:

  • Cardiovascular Surgery
  • Cardiac Valve Disease
  • Prosthetic Heart Valves

Background:

  • Controversy exists regarding the choice of biological vs. mechanical prostheses and repair vs. replacement of the tricuspid valve in triple valve surgery.
  • This study reviews experience with CarboMedics (CM) and Carpentier-Edwards (C-E) heart valves in primary and reoperative triple valve surgery.

Purpose of the Study:

  • To evaluate the outcomes of primary and reoperative triple valve surgery.
  • To compare the use of mechanical and biological prostheses in triple valve surgery.
  • To analyze patient survival and complications associated with different valve procedures.

Main Methods:

  • A prospective follow-up of 73 patients undergoing triple valve surgery since 1982.
  • Aortic valve replacement with CM (57 patients) or C-E (16 patients) prostheses.

Related Experiment Videos

  • Mitral valve replacement (mechanical: 56, biological: 14) or repair (3 patients).
  • Tricuspid valve repair (annuloplasty/commissurotomy: 66) or replacement (7 patients).

    • Main Results:

    • 30-day mortality was 17% (primary) and 12% (reoperative).
    • Long-term survival rates at 1, 5, and 10 years were comparable between primary and reoperative groups.
    • Freedom from thromboembolism and bleeding complications at 5 years was high (87% and 95%, respectively).

    Conclusions:

    • Triple valve surgery, whether primary or reoperative, yields acceptable long-term survival.
    • Both mechanical and biological prostheses are viable options for triple valve surgery.
    • The choice of prosthesis and procedure type does not significantly impact long-term outcomes.