Echocardiographic and Hemodynamic Evaluation of Carpentier Tricuspid Valvuloplasty
AUTOR(ES)
Lambertz, Heinz
RESUMO
To study the long-term results of tricuspid valvuloplasty, pre- and postoperatively (39 ± 11 months), echocardiographic and catheterization data were collected in 37 patients (mean age, 58 ± 8 years). Because of severe mitral stenosis, all patients received a porcine heterograft in the mitral position and underwent reconstructive tricuspid surgery with Carpentier rings (#32, n = 12; #34, n = 15; #36, n = 10). Sizing was performed by measuring the anterior leaflet area using an obturator. In nine patients, tricuspid leaflets were slightly shrunken at the insertion site of the chordae tendineae. Postoperative echocardiography and right heart catheterization were performed with simultaneous pressure recordings in the right ventricle and right atrium. A significant clinical improvement was noted in 24 patients, and this correlated with significant hemodynamic improvement. In eight patients, no clinical improvement was observed.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=341877Documentos Relacionados
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