Asian Annals
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Kook-Yang Park
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Park, K.-Y.
Right arrow Articles by Lee, K.-C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Park, K.-Y.
Right arrow Articles by Lee, K.-C.
Related Collections
Right arrow Transplantation - heart
Asian Cardiovasc Thorac Ann 2005;13:251-254
© 2005 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTION

Bicaval Anastomosis Reduces Tricuspid Regurgitation after Heart Transplantation

Kook-Yang Park, MD, Chul-Hyun Park, MD, Yang-Bin Chun, MD, Mi-Seung Shin, MD, Kyung-Chun Lee, MD

Gil Heart Center, Gachon Medical School, Inchon, South Korea

For reprint information contact: Kook-Yang Park, MD Tel: 82 32 460 3675 Fax: 82 32 232 0439 Email: kkyypark{at}ghil.com, Gil Heart Center, 1198 Kuwol-dong, Namdong-ku, Inchon 405-760, South Korea.

The standard surgical technique utilizing two atrial cuff anastomoses has been used in the majority of transplant centers until recently when bicaval anastomoses was introduced. The purpose of this study was to compare the prevalence of tricuspid regurgitation after the bicaval and standard techniques of anastomosis. Heart transplantation was performed in 43 patients at our institution from April 1994 to December 2003: 15 by the standard technique (group A) and 28 by the bicaval technique (group B). No differences in pre-transplant diagnosis, donor age, immunosuppression, rejection treatment, or graft ischemic time were evident between the two groups. The prevalence of tricuspid regurgitation ( ≥ moderate) was higher after the standard technique (36.4% vs. 10.5%; p < 0.05). Survival rates at 1 and 3 years in group A were 87% and 55%, and 86% and 78% in group B, with a significant difference in the 3-year mortality. The bicaval anastomosis technique was found to be associated with a lower incidence of tricuspid regurgitation during the late postoperative period, and should be preferred for heart transplantation.




This article has been cited by other articles:


Home page
 Card Surg AdultHome page
L. U. Nwakanma, A. S. Shah, J. V. Conte, and W. A. Baumgartner
Heart Transplantation
Card. Surg. Adult, January 1, 2008; 3(2008): 1539 - 1578.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2005 by the Asia Publishing EXchange Ltd.