In-hospital and long-term outcome after porcine tricuspid valve replacement.

Published

Journal Article

Porcine bioprostheses are often used for tricuspid valve replacement, yet the long-term outcome after this procedure is not well documented. Therefore, the records of 129 patients undergoing tricuspid valve replacement with Carpentier-Edwards (n = 88) or Hancock (n = 41) prostheses between 1975 and 1993 were reviewed. The operation required a repeat median sternotomy in 66 of 129 (51%) patients, whereas 67 of 129 (52%) underwent double or triple valve replacement. Operative mortality was 14% (2/14) in patients undergoing first-time isolated tricuspid valve replacement and 27% (35/129) overall. Survival at 5, 10, and 14 years was 56% +/- 5%, 48% +/- 5%, and 31% +/- 9%, and freedom from tricuspid reoperation at 5, 10, and 14 years was 96% +/- 3%, 93% +/- 4%, and 49% +/- 17%. No valve thrombosis was observed. In this largest reported series of porcine bioprostheses in the tricuspid position, long-term freedom from valve-related events was excellent because of a low incidence of valve thrombosis and a valve durability of 13 to 15 years in a population with limited life expectancy.

Full Text

Duke Authors

Cited Authors

  • Glower, DD; White, WD; Smith, LR; Young, WG; Oldham, HN; Wolfe, WG; Lowe, JE

Published Date

  • May 1995

Published In

Volume / Issue

  • 109 / 5

Start / End Page

  • 877 - 883

PubMed ID

  • 7739247

Pubmed Central ID

  • 7739247

International Standard Serial Number (ISSN)

  • 0022-5223

Digital Object Identifier (DOI)

  • 10.1016/S0022-5223(95)70311-X

Language

  • eng

Conference Location

  • United States