Short-and long-term results of triple valve surgery

A single center experience

Sung Ho Shinn, Sam Sae Oh, Chan Young Na, Chang Ha Lee, Hong Gook Lim, Jae Hyun Kim, Kil Soo Yie, Man Jong Baek, Dong Seop Song

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Triple valve surgery is usually complex and carries a reported operative mortality of 13% and 10-yr survival of 61%. We examined surgical results based on our hospital's experience. A total of 160 consecutive patients underwent triple valve surgery from 1990 to 2006. The most common aortic and mitral valve disease was rheumatic disease (82%). The most common tricuspid valve disease was functional regurgitation (80%). Seventy-four percent of the patients were in New York Heart Association (NYHA) class III and IV. Univariate and multivariable analyses were performed to identify predictors of early and late survival. Operative mortality was 6.9% (n=11). Univariate factors associated with mortality included old age, preoperative renal failure, postoperative renal failure, pulmonary complications, and stroke. Of them, postoperative renal failure and stroke were associated with mortality on multivariable analysis. Otherwise, neither tricuspid valve replacement nor reoperation were statistically associated with late mortality. Survival at 5 and 10 yr was 87% and 84%, respectively. Ninety-two percent of the patients were in NYHA class I and II at their most recent follow-up. Ten-year freedom from prosthetic valve endocarditis was 97%; from anticoagulation-related hemorrhage, 82%; from thromboembolism, 89%; and from reoperation, 84%. Postoperative renal failure and stroke were significantly related with operative mortality. Triple valve surgery, regardless of reoperation and tricuspid valve replacement, results in acceptable long-term survival.

Original languageEnglish
Pages (from-to)818-823
Number of pages6
JournalJournal of Korean Medical Science
Volume24
Issue number5
DOIs
Publication statusPublished - 2009 Oct 1

Fingerprint

Renal Insufficiency
Tricuspid Valve
Mortality
Reoperation
Survival
Stroke
Thromboembolism
Endocarditis
Rheumatic Diseases
Aortic Valve
Mitral Valve
Hemorrhage
Lung

Keywords

  • Renal failure
  • Stroke
  • Triple valve surgery

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Shinn, S. H., Oh, S. S., Na, C. Y., Lee, C. H., Lim, H. G., Kim, J. H., ... Song, D. S. (2009). Short-and long-term results of triple valve surgery: A single center experience. Journal of Korean Medical Science, 24(5), 818-823. https://doi.org/10.3346/jkms.2009.24.5.818

Short-and long-term results of triple valve surgery : A single center experience. / Shinn, Sung Ho; Oh, Sam Sae; Na, Chan Young; Lee, Chang Ha; Lim, Hong Gook; Kim, Jae Hyun; Yie, Kil Soo; Baek, Man Jong; Song, Dong Seop.

In: Journal of Korean Medical Science, Vol. 24, No. 5, 01.10.2009, p. 818-823.

Research output: Contribution to journalArticle

Shinn, SH, Oh, SS, Na, CY, Lee, CH, Lim, HG, Kim, JH, Yie, KS, Baek, MJ & Song, DS 2009, 'Short-and long-term results of triple valve surgery: A single center experience', Journal of Korean Medical Science, vol. 24, no. 5, pp. 818-823. https://doi.org/10.3346/jkms.2009.24.5.818
Shinn, Sung Ho ; Oh, Sam Sae ; Na, Chan Young ; Lee, Chang Ha ; Lim, Hong Gook ; Kim, Jae Hyun ; Yie, Kil Soo ; Baek, Man Jong ; Song, Dong Seop. / Short-and long-term results of triple valve surgery : A single center experience. In: Journal of Korean Medical Science. 2009 ; Vol. 24, No. 5. pp. 818-823.
@article{01cd401a46e8414fb53ef0dd758c6d15,
title = "Short-and long-term results of triple valve surgery: A single center experience",
abstract = "Triple valve surgery is usually complex and carries a reported operative mortality of 13{\%} and 10-yr survival of 61{\%}. We examined surgical results based on our hospital's experience. A total of 160 consecutive patients underwent triple valve surgery from 1990 to 2006. The most common aortic and mitral valve disease was rheumatic disease (82{\%}). The most common tricuspid valve disease was functional regurgitation (80{\%}). Seventy-four percent of the patients were in New York Heart Association (NYHA) class III and IV. Univariate and multivariable analyses were performed to identify predictors of early and late survival. Operative mortality was 6.9{\%} (n=11). Univariate factors associated with mortality included old age, preoperative renal failure, postoperative renal failure, pulmonary complications, and stroke. Of them, postoperative renal failure and stroke were associated with mortality on multivariable analysis. Otherwise, neither tricuspid valve replacement nor reoperation were statistically associated with late mortality. Survival at 5 and 10 yr was 87{\%} and 84{\%}, respectively. Ninety-two percent of the patients were in NYHA class I and II at their most recent follow-up. Ten-year freedom from prosthetic valve endocarditis was 97{\%}; from anticoagulation-related hemorrhage, 82{\%}; from thromboembolism, 89{\%}; and from reoperation, 84{\%}. Postoperative renal failure and stroke were significantly related with operative mortality. Triple valve surgery, regardless of reoperation and tricuspid valve replacement, results in acceptable long-term survival.",
keywords = "Renal failure, Stroke, Triple valve surgery",
author = "Shinn, {Sung Ho} and Oh, {Sam Sae} and Na, {Chan Young} and Lee, {Chang Ha} and Lim, {Hong Gook} and Kim, {Jae Hyun} and Yie, {Kil Soo} and Baek, {Man Jong} and Song, {Dong Seop}",
year = "2009",
month = "10",
day = "1",
doi = "10.3346/jkms.2009.24.5.818",
language = "English",
volume = "24",
pages = "818--823",
journal = "Journal of Korean Medical Science",
issn = "1011-8934",
publisher = "Korean Academy of Medical Science",
number = "5",

}

TY - JOUR

T1 - Short-and long-term results of triple valve surgery

T2 - A single center experience

AU - Shinn, Sung Ho

AU - Oh, Sam Sae

AU - Na, Chan Young

AU - Lee, Chang Ha

AU - Lim, Hong Gook

AU - Kim, Jae Hyun

AU - Yie, Kil Soo

AU - Baek, Man Jong

AU - Song, Dong Seop

PY - 2009/10/1

Y1 - 2009/10/1

N2 - Triple valve surgery is usually complex and carries a reported operative mortality of 13% and 10-yr survival of 61%. We examined surgical results based on our hospital's experience. A total of 160 consecutive patients underwent triple valve surgery from 1990 to 2006. The most common aortic and mitral valve disease was rheumatic disease (82%). The most common tricuspid valve disease was functional regurgitation (80%). Seventy-four percent of the patients were in New York Heart Association (NYHA) class III and IV. Univariate and multivariable analyses were performed to identify predictors of early and late survival. Operative mortality was 6.9% (n=11). Univariate factors associated with mortality included old age, preoperative renal failure, postoperative renal failure, pulmonary complications, and stroke. Of them, postoperative renal failure and stroke were associated with mortality on multivariable analysis. Otherwise, neither tricuspid valve replacement nor reoperation were statistically associated with late mortality. Survival at 5 and 10 yr was 87% and 84%, respectively. Ninety-two percent of the patients were in NYHA class I and II at their most recent follow-up. Ten-year freedom from prosthetic valve endocarditis was 97%; from anticoagulation-related hemorrhage, 82%; from thromboembolism, 89%; and from reoperation, 84%. Postoperative renal failure and stroke were significantly related with operative mortality. Triple valve surgery, regardless of reoperation and tricuspid valve replacement, results in acceptable long-term survival.

AB - Triple valve surgery is usually complex and carries a reported operative mortality of 13% and 10-yr survival of 61%. We examined surgical results based on our hospital's experience. A total of 160 consecutive patients underwent triple valve surgery from 1990 to 2006. The most common aortic and mitral valve disease was rheumatic disease (82%). The most common tricuspid valve disease was functional regurgitation (80%). Seventy-four percent of the patients were in New York Heart Association (NYHA) class III and IV. Univariate and multivariable analyses were performed to identify predictors of early and late survival. Operative mortality was 6.9% (n=11). Univariate factors associated with mortality included old age, preoperative renal failure, postoperative renal failure, pulmonary complications, and stroke. Of them, postoperative renal failure and stroke were associated with mortality on multivariable analysis. Otherwise, neither tricuspid valve replacement nor reoperation were statistically associated with late mortality. Survival at 5 and 10 yr was 87% and 84%, respectively. Ninety-two percent of the patients were in NYHA class I and II at their most recent follow-up. Ten-year freedom from prosthetic valve endocarditis was 97%; from anticoagulation-related hemorrhage, 82%; from thromboembolism, 89%; and from reoperation, 84%. Postoperative renal failure and stroke were significantly related with operative mortality. Triple valve surgery, regardless of reoperation and tricuspid valve replacement, results in acceptable long-term survival.

KW - Renal failure

KW - Stroke

KW - Triple valve surgery

UR - http://www.scopus.com/inward/record.url?scp=75349111099&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=75349111099&partnerID=8YFLogxK

U2 - 10.3346/jkms.2009.24.5.818

DO - 10.3346/jkms.2009.24.5.818

M3 - Article

VL - 24

SP - 818

EP - 823

JO - Journal of Korean Medical Science

JF - Journal of Korean Medical Science

SN - 1011-8934

IS - 5

ER -