Key result
Tricuspid valve replacement with bioprosthetic valves in dogs with tricuspid valve dysplasia was associated with a high incidence of complications, including 4 in-hospital deaths among 9 dogs.
Why the study?
Does bioprosthetic tricuspid valve replacement improve survival in dogs with tricuspid valve dysplasia?
Observational (n=9)
Does bioprosthetic tricuspid valve replacement improve survival in dogs with tricuspid valve dysplasia?
Tricuspid valve replacement with bioprosthetic valves in dogs with tricuspid valve dysplasia is associated with a high incidence of fatal complications.
Highlights extreme procedural risk in veterinary cardiology; leaves open whether refined surgical techniques or patient selection could improve outcomes.
OBJECTIVES: To describe the short-term and long-term outcome in dogs with tricuspid valve dysplasia undergoing tricuspid valve replacement under cardiopulmonary bypass. METHODS: Data were collected from the hospital records of all dogs that had undergone tricuspid valve replacement under cardiopulmonary bypass between 2006 and 2012. Dogs were considered candidates for tricuspid valve replacement if they had severe tricuspid valve regurgitation associated with clinical signs of cardiac compromise. RESULTS: Nine dogs of six different breeds were presented. Median age was 13 months (range 7 to 61 months), median weight 26·5 kg (range 9·7 to 59 kg). Eight bovine pericardial valves and one porcine aortic valve were used. One non-fatal intraoperative complication occurred. Complications during hospitalisation occurred in six dogs, four of which were fatal. Of the five dogs discharged, one presented dead due to haemothorax after minor trauma seven days later. The four remaining dogs survived a median of 533 days; all of these dogs received a bovine pericardial valve. CLINICAL SIGNIFICANCE: Based on our results, tricuspid valve replacement with bovine or porcine prosthetic valves is associated with a high incidence of complications.
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Bristow et al. (2017) conducted an observational in Tricuspid valve dysplasia (n=9). Tricuspid valve replacement was evaluated on Complications during hospitalisation. Tricuspid valve replacement with bioprosthetic valves in dogs with tricuspid valve dysplasia was associated with a high incidence of complications, including 4 in-hospital deaths among 9 dogs.
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