ABSTRACT
DeVega tricuspid annuloplasty was performed in 74 patients undergoing mitral or mitral and aortic valve replacement between January, 1972, and December, 1985. Sixty-two hospital survivors have been followed up for a mean of 85.3 +/- 6.6 months. Actuarial survival at 14 years was 71.5 +/- 8.2%. None of the late deaths was related to the tricuspid annuloplasty. Three patients required tricuspid valve replacement for recurrence of tricuspid regurgitation (0.68% per annum). Eleven asymptomatic patients studied hemodynamically at a mean period of 53 months after the operation showed maintenance of the hemodynamic improvement. We recommend DeVega annuloplasty as the method of choice for moderate to severe tricuspid regurgitation in the absence of an organically diseased or deformed valve.
Subject(s)
Tricuspid Valve Insufficiency/surgery , Adolescent , Adult , Aged , Aortic Valve , Female , Follow-Up Studies , Heart Valve Diseases/surgery , Humans , Male , Methods , Middle Aged , Mitral Valve , Postoperative Complications/mortality , ReoperationABSTRACT
Biatrial myxomas are extremely rare. By 1983, only eight successful removals of such tumors had been reported. We describe another such patient, who also had involvement of the mitral valve. Diagnostic aspects of echocardiography and a simple operative technique for the en bloc removal of both tumors are discussed.
Subject(s)
Heart Neoplasms/complications , Heart Valve Diseases/complications , Myxoma/complications , Diagnosis, Differential , Echocardiography , Female , Heart Neoplasms/surgery , Heart Valve Diseases/surgery , Humans , Middle Aged , Mitral Valve , Myxoma/surgeryABSTRACT
The coronary artery luminal diameters in 32 patients with aortic stenosis (AS) were compared with those of 24 control subjects without left ventricular (LV) hypertrophy by means of a derived index. Patients with AS had significantly larger coronary arteries than the control subjects (p less than 0.01). The increase in coronary luminal diameter had a weak correlation to LV wall thickness (r = 0.32) and LV mass (r = 0.34). Among 21 patients with AS and normal coronary angiograms, those with angina had higher peak LV pressures (224 +/- 8 vs 196 +/- 7 mm Hg) and greater peak systolic gradients (103 +/- 9 vs 74 +/- 10 mm Hg) than those without angina (p less than 0.05). However, there was no significant difference in coronary artery diameters, peak LV stress or LV tension at rest between patients with and without angina.
