Triple valvulopathy refers to triple valve dysfunction: mitral, aortic and tricuspid. Most are of rheumatic origin. The specificity of these triple disorders derives from the great variability of the pictures encountered, associating to varying degrees leakage and stenosis in each orifice. The aim of this work was to establish the specific features of this surgery, to determine the operative indications, and to evaluate the operative results in a developing country. We report the case of a 25-year-old female patient with a history of recurrent angina during childhood, who underwent therapeutic termination of pregnancy 03 years ago for exertional dyspnea and edema of the lower limbs, revealing this cardiopathy. Cardiac ultrasonography revealed a tight mitral narrowing with a mitral surface area of 0.7 cm2 and a mean gradient of 15 mmhg; tricuspid disease combining severe tricuspid insufficiency and tricuspid narrowing with a mean gradient of 7 mmhg; and a tight calcified aortic narrowing with a mean gradient of 51 mmhg. Operability tests were normal. She underwent triple valve replacement: mechanical mitral valve replacement with a No. 33 prosthesis; mechanical aortic valve replacement with a No. 24 prosthesis; and biological tricuspid valve replacement with a No. 25 bioprosthesis. Extracorporeal circulation time was 217 min, clamping time 132 minutes and assistance time 66 minutes. Post-operative follow-up was marked by left and right ventricular dysfunction, which progressed well on drugs.
| Published in | International Journal of Cardiovascular and Thoracic Surgery (Volume 9, Issue 3) |
| DOI | 10.11648/j.ijcts.20230903.15 |
| Page(s) | 40-44 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Triple Valve, Replacement, Bamako
| [1] | Boulanouar D Résultats à moyen terme de la chirurgie cardiaque de remplacement valvulaire par prothèses mécaniques. a propos de 861 patients. mid-terme results of cardiac surgery of valve replacement by mechanical prosthesis. about 861 patients LA TUNISIE MEDICALE - 2016; Vol 94 (n°11). |
| [2] | Antunes MJ. Challenges in rheumatic valvular disease: Surgical strategies for mitral valve preservation. Glob Cardiol Sci Pract. 2015; 2015: 9. |
| [3] | Akay TH, Gultekin B, Ozkan S et col. Triple calves procedures: Impact of risk factors on midterm in a rheumatic population. Ann Thorac Surg 2006, 82: 1729 Ŕ 34. |
| [4] | Alsoufi B, Rao V, Borger MA et col: short and long term results of triple valve surgery in the modern era, Ann Thorac Surg 2006; 81: 2172-8. |
| [5] | Mullany CJ, Gersh BJ et col. Repair of tricuspid of tricuspid valve insufficiency in patients undergoing double (aortic and mitral) valve resplacement. J Thorac Cardiovasc Surg 1987, 94: 740-748. |
| [6] | Han QQ. Xu ZY, Zou LJ et col. Primary triple valve surgery for dvanced rheumatic heart disease in Mainland China: a single-center experience with 871clinical cases. Eur J cardiothorac Surg 2007, 31: 845-850. |
| [7] | Carrier M, Pellerin M, Bouchard D et col. Long-term results of triple valve surgery in the modern era, Ann Thorac Surg 2002; 73: 44-7. |
| [8] | Garg SK, Gosh PK, Misra B. Triple valve surgery in rheumatic heart disease cardiologie tropicale, 1998, 24 (94): 39-45. Prise en charge chirurgicale des triples valvulopathies155. |
| [9] | Tribouilly C et col. Recommandations de la société française de cardiologie concernant la prise en charge des valvulopathies acquises et des dysfunctions de prothese valvulaire. Arch Mal Coeur et vaisseaux, tome 98, n0 2 (suppl), fevrier 2005. |
| [10] | Teply JF, Grunkemeier GL, D’Arcy Sutherland H et col. The ultimate prognosis afer valve replacement: an assessment at twenty years. Ann Thorac Surg, 1981, 32: 111-117. |
| [11] | Acar J, Vahanian A, Michel PL et al. Faut-il opérer les valvulopthies mitrales a/ou paucisymptomatiques ? Arch Mal cœur, 1992, 85: 1837-1843. |
| [12] | Yilmaz M, Ozkan M, Boke E. Triple valve surgery: A 25 Ŕ year experience. Anadolu Kardiyol Derg 2004, 4: 205 Ŕ 208. |
| [13] | Rossiter SJ, Craig-Miller D, Stinson EB. Aortic and mitral prosthesis valve reoperations. Early and late results. Arch Surg. 1979, 114: 1279-1283. |
| [14] | Shinn. HO S, Young Na et col Short- and Long-Term Results of Triple Valve Surgery: A Single Center Experience J Korean Med Sci 2009; 24: 818-23. |
| [15] | Eukouhen D. Cardiopathies valvulaires évoluées: Prise en charge chirurgicale (à propos de 59 cas) service de chirurgie cardio-vasculaire du centre hospitalier universitaire IBN ROCHD, 48/2007. |
| [16] | Caroline A. Kim, Suraj P. Rasania, Jonathan Afilalo et al. Functional status and quality of life after transcayheter aortic valve replacement: A systematic review. Ann Intern Med. 2014 Feb 18; 160 (4): 243-254. |
APA Style
Baba Ibrahima Diarra, Modibo Doumbia, Mamadou Touré, Sanoussy Daffe, Bakary Coulibaly, et al. (2023). First Case of Triple Valve Replacement in the Andre Festoc Center in Bamako. International Journal of Cardiovascular and Thoracic Surgery, 9(3), 40-44. https://doi.org/10.11648/j.ijcts.20230903.15
ACS Style
Baba Ibrahima Diarra; Modibo Doumbia; Mamadou Touré; Sanoussy Daffe; Bakary Coulibaly, et al. First Case of Triple Valve Replacement in the Andre Festoc Center in Bamako. Int. J. Cardiovasc. Thorac. Surg. 2023, 9(3), 40-44. doi: 10.11648/j.ijcts.20230903.15
AMA Style
Baba Ibrahima Diarra, Modibo Doumbia, Mamadou Touré, Sanoussy Daffe, Bakary Coulibaly, et al. First Case of Triple Valve Replacement in the Andre Festoc Center in Bamako. Int J Cardiovasc Thorac Surg. 2023;9(3):40-44. doi: 10.11648/j.ijcts.20230903.15
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ijcts.20230903.15,
author = {Baba Ibrahima Diarra and Modibo Doumbia and Mamadou Touré and Sanoussy Daffe and Bakary Coulibaly and Oumar Doucouré and Siriman Koita and Diallo Binta and Salia Traoré and Mahamadoune Coulibaly and Mamadou Bocary Diarra and Birama Togola and Seydou Togo and Moussa Abdoulaye Ouattara and Sadio Yena and Guy Fernandez and Bina Nadjeeboulah and Erwan Flecher and Thiery Langanay and Alain Deloche},
title = {First Case of Triple Valve Replacement in the Andre Festoc Center in Bamako},
journal = {International Journal of Cardiovascular and Thoracic Surgery},
volume = {9},
number = {3},
pages = {40-44},
doi = {10.11648/j.ijcts.20230903.15},
url = {https://doi.org/10.11648/j.ijcts.20230903.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20230903.15},
abstract = {Triple valvulopathy refers to triple valve dysfunction: mitral, aortic and tricuspid. Most are of rheumatic origin. The specificity of these triple disorders derives from the great variability of the pictures encountered, associating to varying degrees leakage and stenosis in each orifice. The aim of this work was to establish the specific features of this surgery, to determine the operative indications, and to evaluate the operative results in a developing country. We report the case of a 25-year-old female patient with a history of recurrent angina during childhood, who underwent therapeutic termination of pregnancy 03 years ago for exertional dyspnea and edema of the lower limbs, revealing this cardiopathy. Cardiac ultrasonography revealed a tight mitral narrowing with a mitral surface area of 0.7 cm2 and a mean gradient of 15 mmhg; tricuspid disease combining severe tricuspid insufficiency and tricuspid narrowing with a mean gradient of 7 mmhg; and a tight calcified aortic narrowing with a mean gradient of 51 mmhg. Operability tests were normal. She underwent triple valve replacement: mechanical mitral valve replacement with a No. 33 prosthesis; mechanical aortic valve replacement with a No. 24 prosthesis; and biological tricuspid valve replacement with a No. 25 bioprosthesis. Extracorporeal circulation time was 217 min, clamping time 132 minutes and assistance time 66 minutes. Post-operative follow-up was marked by left and right ventricular dysfunction, which progressed well on drugs.},
year = {2023}
}
TY - JOUR T1 - First Case of Triple Valve Replacement in the Andre Festoc Center in Bamako AU - Baba Ibrahima Diarra AU - Modibo Doumbia AU - Mamadou Touré AU - Sanoussy Daffe AU - Bakary Coulibaly AU - Oumar Doucouré AU - Siriman Koita AU - Diallo Binta AU - Salia Traoré AU - Mahamadoune Coulibaly AU - Mamadou Bocary Diarra AU - Birama Togola AU - Seydou Togo AU - Moussa Abdoulaye Ouattara AU - Sadio Yena AU - Guy Fernandez AU - Bina Nadjeeboulah AU - Erwan Flecher AU - Thiery Langanay AU - Alain Deloche Y1 - 2023/06/29 PY - 2023 N1 - https://doi.org/10.11648/j.ijcts.20230903.15 DO - 10.11648/j.ijcts.20230903.15 T2 - International Journal of Cardiovascular and Thoracic Surgery JF - International Journal of Cardiovascular and Thoracic Surgery JO - International Journal of Cardiovascular and Thoracic Surgery SP - 40 EP - 44 PB - Science Publishing Group SN - 2575-4882 UR - https://doi.org/10.11648/j.ijcts.20230903.15 AB - Triple valvulopathy refers to triple valve dysfunction: mitral, aortic and tricuspid. Most are of rheumatic origin. The specificity of these triple disorders derives from the great variability of the pictures encountered, associating to varying degrees leakage and stenosis in each orifice. The aim of this work was to establish the specific features of this surgery, to determine the operative indications, and to evaluate the operative results in a developing country. We report the case of a 25-year-old female patient with a history of recurrent angina during childhood, who underwent therapeutic termination of pregnancy 03 years ago for exertional dyspnea and edema of the lower limbs, revealing this cardiopathy. Cardiac ultrasonography revealed a tight mitral narrowing with a mitral surface area of 0.7 cm2 and a mean gradient of 15 mmhg; tricuspid disease combining severe tricuspid insufficiency and tricuspid narrowing with a mean gradient of 7 mmhg; and a tight calcified aortic narrowing with a mean gradient of 51 mmhg. Operability tests were normal. She underwent triple valve replacement: mechanical mitral valve replacement with a No. 33 prosthesis; mechanical aortic valve replacement with a No. 24 prosthesis; and biological tricuspid valve replacement with a No. 25 bioprosthesis. Extracorporeal circulation time was 217 min, clamping time 132 minutes and assistance time 66 minutes. Post-operative follow-up was marked by left and right ventricular dysfunction, which progressed well on drugs. VL - 9 IS - 3 ER -
Email: