Physiological manometric tested tricuspid valvuloplasty.
Tricuspid insufficiency associated with severe left-sided valvular heart disease carries a poor prognosis. Twenty-two patients with severe pulmonary hypertension and tricuspid insufficiency underwent a tricuspid valvuloplasty in addition to left-sided single or double valve replacement. The tricuspid valvuloplasty was performed after weaning the patient from cardiopulmonary bypass. The efficacy of the tricuspid valvuloplasty was gauged by continuous right atrial pressure recordings as the annuloplasty was completed. Obliteration of the peak of the V wave of the right atrial pressure recordings indicated that the tricuspid annuloplasty was secured. Twenty-one patients were long-term survivors, and 19 patients are in good condition for an average follow-up of 6.1 years (1 to 12 years postoperatively).
Arbulu
A
A
Department of Surgery, Wayne State University School of Medicine, Detroit, Michigan.
Holmes
R J
RJ
Asfaw
I
I
D000328:Adult; D000368:Aged; D001795:Blood Pressure Determination; D006348:Cardiac Surgical Procedures / Q000379:methods* / Q000401:mortality / Q000592:standards; D005260:Female; D005500:Follow-Up Studies; D006439:Hemodynamics; D006785:Hospitals, University; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008824:Michigan / Q000453:epidemiology; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D011379:Prognosis; D015996:Survival Rate; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000503:physiopathology / Q000601:surgery*