Analysis of Reasons of Cardiac Valve Reoperation_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

QIANHong , MENGWei , HUJia , XIAOZheng-hua , FANGZhi , LIYang , GUJun , ZHANGHong-wei ,  ZHANGEr-yong

Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

ZHANGEr-yong, Email: zey16@126.com

Keywords：

Heart valve; Reoperation; Cardiopulmonary bypass

DOI：

10.7507/1007-4848.20160251

Video：

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Objective To analyze the reason of 45 patients with cardiac valve reoperation and to evaluate the safety of redo heart valve replacement. Methods We retrospectively analyzed the clinical data of 45 patients in our hospital between January 2010 and January 2015. There were 45 patients with 14 males and 31 females at an average age of 51.21± 8.36 years. Results Three of 45 patients (6.67%) were died after surgery. Mean follow-up was 36 (4-68) months. A total of 42 patients were alive and without reoperation again. The main reasons of heart valve reoperation included lesions of untreated valve, paravalvular leakage, thrombosis associated with valvular dysfunction, bioprosthesis degeneration, endocarditis, valvular lesions after angioplasty. Conclusion Tricuspid regurgitation should be treated aggressively when the mitral valve involved in the first operation. Patients received the secondary heart valve replacement is safe and effective. Strict follow-up system should be established and surgical intervention should be taken timely and appropriately.

Citation： QIANHong, MENGWei, HUJia, XIAOZheng-hua, FANGZhi, LIYang, GUJun, ZHANGHong-wei, ZHANGEr-yong. Analysis of Reasons of Cardiac Valve Reoperation. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(11): 1070-1072. doi: 10.7507/1007-4848.20160251 Copy

1.	王崇, 韩林, 陆方林, 等.再次心脏瓣膜手术325例临床分析.中国胸心血管外科临床杂志, 2013, 20 (1): 23-28.
2.	李明文, 陈林, 肖颖彬.再次心脏瓣膜手术285例临床分析.心肺血管病杂志, 2014, 33 (3): 386-389.
3.	Malvindi PG, van Putte BP, Leone A, et al. Aortic reoperation after freestanding homograft and pulmonary autograft root replacement. Ann Thorac Surg, 2011, 91(4): 1135-1140.
4.	Bobylev D, Breymann T, Ono M, et al. A modified technique of Konno aortoventriculoplasty for redo aortic valve replacement procedures. Thorac Cardiovasc Surg, 2014, 62 (3): 222-223.
5.	Kim HR, Kim GS, Yoo JS, et al. Minimally invasive approach for redo mitral valve replacement: no aortic cross-clamping and no cardioplegia. Korean J Thorac Cardiovasc Surg, 2015, 48(2): 126-128.
6.	Naji P, Griffin BP, Sabik JF, et al. Characteristics and outcomes of patients with severe bioprosthetic aortic valve stenosis under-going redo surgical aortic valve replacement. Circulation, 2015, 132(21): 1953-1960.
7.	Salzmann C, Althaus U, Hugentobler B, et al. Surgery of mitral valve stenosis: open or closed commissurotomy? Schweiz Med Wochenschr, 1976, 106(45): 1579-1583.
8.	McKay RG, Lock JE, Safian RD, et al. Balloon dilation of mitral stenosis in adult patients: postmortem and percutaneous mitral valvuloplasty studies. J Am Coll Cardiol, 1987, 9(4): 723-731.
9.	Zhao ZG, Jilaihawi H, Feng Y, et al. Transcatheter aortic valve implantation in bicuspid anatomy. Nat Rev Cardiol, 2015, 12(2): 123-128.
10.	Zhu D, Hu J, Meng W, et al. Successful transcatheter aortic valve implantation for pure aortic regurgitation using a new second generation self-expanding J-Valve(TM) system-the first in-man implantation. Heart Lung Circ, 2015, 24(4): 411-414.
11.	Zhu D, Chen Y, Guo Y, et al. Transapical transcatheter aortic valve implantation using a new second-generation TAVI system-J-Valve^TM for high-risk patients with aortic valve diseases: Initial results with 90-day follow-up. Int J Cardiol, 2015, 199: 155-162.
12.	Saurav A, Alla VM, Kaushik M, et al. Characteristics and outcomes of patients with severe bioprosthetic aortic valve stenosis under-going redo surgical aortic valve replacement. Circulation, 2015, 132 (21): 1953-1960.
13.	Fukunaga N, Okada Y, Konishi Y, et al. Impact of tricuspid regur-gitation after redo valvular surgery on survival in patients with previous mitral valve replacement. J Thorac Cardiovasc Surg, 2014, 148 (5): 1983-1988.
14.	Jouan J, Mele A, Florens E, et al. Conduction disorders after tricu-spid annuloplasty with mitral valve surgery: Implications for earlier tricuspid intervention. J Thorac Cardiovasc Surg, 2016, 151 (1): 99-103.
15.	Rogers JH, Bolling SF. The tricuspid valve: current perspective and evolving management of tricuspid regurgitation. Circulation, 2009, 119 (20): 2718-2725.
16.	Kaiser LR, Kron IL, Spray TL. Mastery of cardiothoracic surgery (second edition). USA: Lippincott Williams & Wilkins Inc, 2007: 410-423.
17.	Botta L, Cannata A, Bruschi G, et al. Minimally invasive approach for redo mitral valve surgery. J Thorac Dis, 2013, 5(6): S686-S693.
18.	Tokunaga S, Tominaga R. Current status of the mechanical valve and bioprosthesis in Japan. J Artif Organs, 2008, 11(2): 53-59.
19.	修宗谊, 谷天祥, 章志伟.再次人工瓣膜置换69例临床分析.中国心血管病研究杂志, 2015, 13(7): 607-609.
20.	巫金龙, 颜涛, 邹良建, 等.再次接受左房室瓣人工瓣膜置换危险因素分析.第二军医大学学报, 2012, 33(6): 633-636.

1. 王崇, 韩林, 陆方林, 等.再次心脏瓣膜手术325例临床分析.中国胸心血管外科临床杂志, 2013, 20 (1): 23-28.
2. 李明文, 陈林, 肖颖彬.再次心脏瓣膜手术285例临床分析.心肺血管病杂志, 2014, 33 (3): 386-389.
3. Malvindi PG, van Putte BP, Leone A, et al. Aortic reoperation after freestanding homograft and pulmonary autograft root replacement. Ann Thorac Surg, 2011, 91(4): 1135-1140.
4. Bobylev D, Breymann T, Ono M, et al. A modified technique of Konno aortoventriculoplasty for redo aortic valve replacement procedures. Thorac Cardiovasc Surg, 2014, 62 (3): 222-223.
5. Kim HR, Kim GS, Yoo JS, et al. Minimally invasive approach for redo mitral valve replacement: no aortic cross-clamping and no cardioplegia. Korean J Thorac Cardiovasc Surg, 2015, 48(2): 126-128.
6. Naji P, Griffin BP, Sabik JF, et al. Characteristics and outcomes of patients with severe bioprosthetic aortic valve stenosis under-going redo surgical aortic valve replacement. Circulation, 2015, 132(21): 1953-1960.
7. Salzmann C, Althaus U, Hugentobler B, et al. Surgery of mitral valve stenosis: open or closed commissurotomy? Schweiz Med Wochenschr, 1976, 106(45): 1579-1583.
8. McKay RG, Lock JE, Safian RD, et al. Balloon dilation of mitral stenosis in adult patients: postmortem and percutaneous mitral valvuloplasty studies. J Am Coll Cardiol, 1987, 9(4): 723-731.
9. Zhao ZG, Jilaihawi H, Feng Y, et al. Transcatheter aortic valve implantation in bicuspid anatomy. Nat Rev Cardiol, 2015, 12(2): 123-128.
10. Zhu D, Hu J, Meng W, et al. Successful transcatheter aortic valve implantation for pure aortic regurgitation using a new second generation self-expanding J-Valve(TM) system-the first in-man implantation. Heart Lung Circ, 2015, 24(4): 411-414.
11. Zhu D, Chen Y, Guo Y, et al. Transapical transcatheter aortic valve implantation using a new second-generation TAVI system-J-Valve^TM for high-risk patients with aortic valve diseases: Initial results with 90-day follow-up. Int J Cardiol, 2015, 199: 155-162.
12. Saurav A, Alla VM, Kaushik M, et al. Characteristics and outcomes of patients with severe bioprosthetic aortic valve stenosis under-going redo surgical aortic valve replacement. Circulation, 2015, 132 (21): 1953-1960.
13. Fukunaga N, Okada Y, Konishi Y, et al. Impact of tricuspid regur-gitation after redo valvular surgery on survival in patients with previous mitral valve replacement. J Thorac Cardiovasc Surg, 2014, 148 (5): 1983-1988.
14. Jouan J, Mele A, Florens E, et al. Conduction disorders after tricu-spid annuloplasty with mitral valve surgery: Implications for earlier tricuspid intervention. J Thorac Cardiovasc Surg, 2016, 151 (1): 99-103.
15. Rogers JH, Bolling SF. The tricuspid valve: current perspective and evolving management of tricuspid regurgitation. Circulation, 2009, 119 (20): 2718-2725.
16. Kaiser LR, Kron IL, Spray TL. Mastery of cardiothoracic surgery (second edition). USA: Lippincott Williams & Wilkins Inc, 2007: 410-423.
17. Botta L, Cannata A, Bruschi G, et al. Minimally invasive approach for redo mitral valve surgery. J Thorac Dis, 2013, 5(6): S686-S693.
18. Tokunaga S, Tominaga R. Current status of the mechanical valve and bioprosthesis in Japan. J Artif Organs, 2008, 11(2): 53-59.
19. 修宗谊, 谷天祥, 章志伟.再次人工瓣膜置换69例临床分析.中国心血管病研究杂志, 2015, 13(7): 607-609.
20. 巫金龙, 颜涛, 邹良建, 等.再次接受左房室瓣人工瓣膜置换危险因素分析.第二军医大学学报, 2012, 33(6): 633-636.

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