Late thrombosis of the Björk-Shiley tilting disc valve in the tricuspid position

Boskovic, Dejan; Elezović, Ivo; Bosković, D; Simin, N; Rolović, Z; Josipović, V

doi:10.1016/s0022-5223(19)38474-0

Cited by 42 publications

(3 citation statements)

References 10 publications

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“…In conclusion, th e present study indicat es that similarly good outcom es can be ex pec te d for the St. jude Med ical valve and the Carpentier-Edw ards porcin e valve, and that both function al class IV a nd co mbine d acq uired valvular diseases ar e risk facto rs fo r increased mortality afte r t ricuspid valve re placem en t. Patient-specific se lectio n of the prosth esis is preferable in tricuspid valve replace ment. Unde r current circums tances , a bio-Though un common, mechan ical valve thrombosis in the tri cuspid valve position wasrepo rte d in th e recent decad e (2,3,6). Reported ly tr icuspid valve t hro mbosis occurr ed in young and female pat ients w ith less intensive anticoagu lati on regimen (less tha n tw ice th e norm al prothro mbin ti me) or in the ea rly postop erat ive per iod (w ithin 3 wee ks) (2,3).…”

Section: Resultsmentioning

confidence: 99%

“…Unde r current circums tances , a bio-Though un common, mechan ical valve thrombosis in the tri cuspid valve position wasrepo rte d in th e recent decad e (2,3,6). Reported ly tr icuspid valve t hro mbosis occurr ed in young and female pat ients w ith less intensive anticoagu lati on regimen (less tha n tw ice th e norm al prothro mbin ti me) or in the ea rly postop erat ive per iod (w ithin 3 wee ks) (2,3). Opt imal anticoagulation for tr icuspid mechanical valve has yet to be det erm ined.…”

Section: Resultsmentioning

confidence: 99%

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Is a Bioprosthesis Preferable in Tricuspid Valve Replacement?

Hayashi

Saito²,

Yamamoto³

et al. 1996

Thorac cardiovasc Surg

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We reviewed clinical data on 29 patients (17 acquired disease and 12 congenital disease) who underwent tricuspid valve replacement using a Carpentier-Edwards porcine valve or a St. Jude Medical valve at Niigata University Hospital between January 1978 and October 1995, and analyzed risks related to the outcome. Age ranged from 8 to 62 years, and 17 females were included. New York Heart Association functional class was IV in 9 patients (31%). Previous valve surgery had been performed in 10 patients (34%). An urgent surgery was required in 4 patients and simultaneous mitral (with aortic) valve replacement in 13 (45%). Mean follow-up period was 6.7 years. Hospital mortality occurred in 5 patients (17.2%) and all of them had acquired valvular diseases with functional class IV. There were 6 late deaths and none of them related to the tricuspid prosthesis. Nonfatal morbidity occurred in 2 patients (a thrombosed valve and a chronic hemolytic anemia) with a St. Jude valve. Late functional class was I or II in all patients except 3 with severe left-ventricular dysfunction or bioprosthetic failure. Late postoperative echocardiographic examination showed moderate tricuspid stenosis or regurgitation in 3 patients with a Carpentier-Edwards valve. By the Kaplan-Meier method, functional class (P < 0.01) and baseline diseases (p < 0.05) were found to affect probability of freedom from cardiac- and/or valve-related mortality including hospital death. In conclusion, the present study indicates that similarly good outcome would be expected whether using a St. Jude Medical valve or a Carpentier-Edwards porcine valve, and that both functional class IV and combined acquired valvular disease are risk factors for mortality after tricuspid valve replacement. Patient-specific selection of the prosthesis would be preferable in tricuspid valve replacement.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Is a Bioprosthesis Preferable in Tricuspid Valve Replacement?

Hayashi

Saito²,

Yamamoto³

et al. 1996

Thorac cardiovasc Surg

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show abstract

“…S obzirom na veliki broj i zna~ajnu du'inu 'ivota bolesnika sa ve{ta~kim valvulama, sve su u~estalije hirur{ke intervencije na drugim organima i sistemima iz~ega proistie potreba za dobrom taktikom posebne specifi~ne pripreme i sprovodjenje reima antikoagulantne za{tite da bi se izbegla katastrofalna tromboza ve{ta~ke valvule 8,9 ili tromboembolijske komplikacije, a postigli privremeni hemostatski uslovi za bezbedno izvodjenje operativnih procedura.…”

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Surgery for patients with mechanical heart valves: Adjustment and tailoring of anticoagulant therapy

Obrenović-Kirćanski

Subotic

2006

ACTA CHIR IUG

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Valvular surgery in patients (pts) with long history of cardiac valve disease is accomplishing improvement of symptoms, functional status and longevity. The numbers are very big also in our country. Our census numbers are not reliable, but estimation of above 15000 pts with prosthetic heart valve implants is close to correct. Since significant increase in survival and longevity of those pts, the possibility and necessity for non cardiac operative procedures are also increased. Because of specificity and complex constant regular anticoagulation therapy in order to prevent catastrophic prosthetic valve thrombosis and common thromboembolic complication good, but safe reduction of anticoagulation status to accomplish also safe haemostatic condition necessary for all surgical procedures. Individual adjustment and tailoring of anticoagulant and anti aggregation therapies according to accepted international protocols should be carefully done with necessery variation depending on the non cardiac organ and system involved: urgent either minor or major surgical interventions; bleeding peptic ulcer; elective surgery including ophtalmic and common dental procedures with risk of bleeding.

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Direct right ventricular puncture for hemodynamic evaluation of a mechanical tricuspid valve prosthesis: A new indication for an old procedure

Gibson¹,

Carell

1997

Cathet. Cardiovasc. Diagn.

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Late thrombosis of the Björk-Shiley tilting disc valve in the tricuspid position

Cited by 42 publications

References 10 publications

Is a Bioprosthesis Preferable in Tricuspid Valve Replacement?

Is a Bioprosthesis Preferable in Tricuspid Valve Replacement?

Surgery for patients with mechanical heart valves: Adjustment and tailoring of anticoagulant therapy

Direct right ventricular puncture for hemodynamic evaluation of a mechanical tricuspid valve prosthesis: A new indication for an old procedure

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