Avtor/Urednik		Kneževič, Ivan
Naslov		Vrednovanje kirurških metoda anuloplastike kod insuficijentnog trikuspidalnog zaliska
Tip		monografija
Kraj izdaje		Zagreb
Založnik		Sveučilište u Zagrebu, Medicinski fakultet
Leto izdaje		2001
Obseg		str. 79
Jezik		cro
Abstrakt		The question of the best method for surgical correction of functional regurgitation of tricuspid valve (TV), following after mitral valve disease, remains open, in spite of all studies. From 1. january 1985 to l. january 1995 was operated 308 patients for functional tricuspid regurgitation (TR) on Department for cardiovascular surgery in University medical center in Ljubljana. 68,5% of them were female, mean age was 54,8 +/- 10,48 years. Preoperatively TR was evaluated by Doppler echocardiography. Patients were devided in three groups: group A (40 patients) - annuloplasty by De Vega, group B (34 patients) - annuloplasty with flexible Duran ring, and group C (234 patients) - annuloplasty with rigid Carpentier ring. Those methods were rutinely used on our Department. TR was evaluated by Doppler echocardiography after the operation, and patients were contolled later in different time intervals after the operation. We grouped control examinations in four time periods due to interval after the procedure (first year, second, third, and more than 36 months after the procedure). There were no significantly difference in hospital mortality (p=0,124). Total mortality was 9,7%, in group A 10%, in group B 0%, and in group C 1 l,1 %. None of the deaths was related to tricuspid annuloplasty. Groups were distincted in presence of complete heart block (CHB), but not significantly (p=0,32). There was no CHB in group A, in group B two (5,8%), and seven in group C (3,36%). The frequency of residual TR was not significantly different on first and later echocardiographic controls from min 48 to 168 months after the operation. We compared groups also by the preoperative degree of TR, and we find no statisticaly diference (p=0,281) for 55 patients with mild TR before the operation in residual TR after the operation. There was no difference for 154 patients with moderate TR (p=0,025), and also for 84 with severe TR (p=0,211). (Abstract truncated at 2000 characters)
Deskriptorji		TRICUSPID VALVE INSUFFICIENCY ECHOCARDIOGRAPHY, DOPPLER MYOCARDIAL REVASCULARIZATION TREATMENT OUTCOME MITRAL VALVE HEART VALVE PROSTHESIS ELECTROCARDIOGRAPHY