A Case of Combined Valvular Disease with Tricuspid Valve Stenosis

A 63-year-old woman was admitted to our hospital for combined valvular disease with tricuspid valve stenosis. Aortic and mitral valves were replaced with artificial valves and tricuspid valve were replaced with a biological valve. We chose artificial valves for the aortic and mitral valves because t...

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Published inJapanese Journal of Cardiovascular Surgery Vol. 33; no. 4; pp. 299 - 301
Main Authors Kuwabara, Masachika, Onitsuka, Toshio, Matsuyama, Masakazu, Furukawa, Kouji, Nakamura, Eisaku
Format Journal Article
LanguageJapanese
Published The Japanese Society for Cardiovascular Surgery 2004
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ISSN0285-1474
1883-4108
DOI10.4326/jjcvs.33.299

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Abstract A 63-year-old woman was admitted to our hospital for combined valvular disease with tricuspid valve stenosis. Aortic and mitral valves were replaced with artificial valves and tricuspid valve were replaced with a biological valve. We chose artificial valves for the aortic and mitral valves because the patient was younger than 70, while a biological valve was used for the tricuspid valve to avoid possible thromboembolism. The postoperative course was excellent. We propose that it is better to use a biological valve for the tricuspid valve, even if artificial valves are used in other sites.
AbstractList A 63-year-old woman was admitted to our hospital for combined valvular disease with tricuspid valve stenosis. Aortic and mitral valves were replaced with artificial valves and tricuspid valve were replaced with a biological valve. We chose artificial valves for the aortic and mitral valves because the patient was younger than 70, while a biological valve was used for the tricuspid valve to avoid possible thromboembolism. The postoperative course was excellent. We propose that it is better to use a biological valve for the tricuspid valve, even if artificial valves are used in other sites.
Author Nakamura, Eisaku
Matsuyama, Masakazu
Onitsuka, Toshio
Furukawa, Kouji
Kuwabara, Masachika
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  organization: Department of Cardio Vascular Surgery, Prefectural Nobeoka Hospital
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  fullname: Onitsuka, Toshio
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  fullname: Matsuyama, Masakazu
  organization: Department of Cardio Vascular Surgery, Prefectural Nobeoka Hospital
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  fullname: Furukawa, Kouji
  organization: Department of Surgery II, Miyazaki Medical College
– sequence: 1
  fullname: Nakamura, Eisaku
  organization: Department of Cardio Vascular Surgery, Prefectural Nobeoka Hospital
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References 4) Nakano, K., Ueda, H., Kobayashi, J. et al.: Tricuspid valve replacement with bioprostheses. Ann. Thorac. Surg. 71: 105-109, 2001.
7) Kaplan, M., Kut, M. S., Demirtas, M. M. et al.: Prosthetic replacement of tricuspid valve: Bioprosthetic or mechanical. Ann. Thorac. Surg. 73: 467-473, 2002.
8) 高橋俊樹,松江一,松田暉:弁置換術の現状と適応.Card.Pract.13:47-55,2000.
9) Scully, H. E. and Armstrong, C. S.: Tricuspid valve replacement: Fifteen years of experience with mechanical prostheses and bioprostheses. J. Thorac. Cardiovasc. Surg. 109: 1035-1041, 1995.
5) Munro, A. I., Jamieson, W. R. E., Frank, G. et al.: Tricuspid valve replacement porcine bioprostheses and mechanical prostheses. Ann. Thorac. Surg. 60: S 470-474, 1995.
10) Bonow, R. O., Carabello, B., de Leow, A. C., Jr. et al.: ACC/AHA task force report. J. Am. Coll. Cardiol. 32: 1486-1588, 1998.
3) Kirklin, J. W. and Barratt-Boyes, B. G.: Acquired Valvular Heart Disease, Cardiac Surgery, 2nd ed., Churchill Livingstone Inc., New York, 1993, pp. 589-608.
2) Braunward, E.: Valvular Heart Disease: Heart Disease, 6th ed., Braunward, E., Zipes, D. and Libby, P., eds., W. B. Saunders Company, London, 2001, pp. 1689-1697.
6) Kawano, H., Oda, T., Fukunaga, S. et al.: Tricuspid valve replacement with St. Jude medical valve: 19 years of experience. Eur. J. Cardio-thorac. Surg. 18: 565-569, 2000.
1) 古瀬彰:三尖弁膜症および連合弁膜症.心臓血管外科,初版,川島康生編朝倉書店,東京,2000,pp.450-470.
References_xml – reference: 2) Braunward, E.: Valvular Heart Disease: Heart Disease, 6th ed., Braunward, E., Zipes, D. and Libby, P., eds., W. B. Saunders Company, London, 2001, pp. 1689-1697.
– reference: 6) Kawano, H., Oda, T., Fukunaga, S. et al.: Tricuspid valve replacement with St. Jude medical valve: 19 years of experience. Eur. J. Cardio-thorac. Surg. 18: 565-569, 2000.
– reference: 4) Nakano, K., Ueda, H., Kobayashi, J. et al.: Tricuspid valve replacement with bioprostheses. Ann. Thorac. Surg. 71: 105-109, 2001.
– reference: 1) 古瀬彰:三尖弁膜症および連合弁膜症.心臓血管外科,初版,川島康生編朝倉書店,東京,2000,pp.450-470.
– reference: 10) Bonow, R. O., Carabello, B., de Leow, A. C., Jr. et al.: ACC/AHA task force report. J. Am. Coll. Cardiol. 32: 1486-1588, 1998.
– reference: 3) Kirklin, J. W. and Barratt-Boyes, B. G.: Acquired Valvular Heart Disease, Cardiac Surgery, 2nd ed., Churchill Livingstone Inc., New York, 1993, pp. 589-608.
– reference: 5) Munro, A. I., Jamieson, W. R. E., Frank, G. et al.: Tricuspid valve replacement porcine bioprostheses and mechanical prostheses. Ann. Thorac. Surg. 60: S 470-474, 1995.
– reference: 8) 高橋俊樹,松江一,松田暉:弁置換術の現状と適応.Card.Pract.13:47-55,2000.
– reference: 9) Scully, H. E. and Armstrong, C. S.: Tricuspid valve replacement: Fifteen years of experience with mechanical prostheses and bioprostheses. J. Thorac. Cardiovasc. Surg. 109: 1035-1041, 1995.
– reference: 7) Kaplan, M., Kut, M. S., Demirtas, M. M. et al.: Prosthetic replacement of tricuspid valve: Bioprosthetic or mechanical. Ann. Thorac. Surg. 73: 467-473, 2002.
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