Efficiency of different annuloplasty in treating functional tricuspid regurgitation and risk factors for recurrence

Lin, Yun Yi; Wang, Zhinong; Chen, Jian; Jiang, Hong; Zhang, Yufeng

doi:10.1016/j.jamcollsurg.2013.07.068

Cited by 3 publications

(3 citation statements)

References 31 publications

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“…Persistent atrial fibrillation, a large left atrium, low left ventricular ejection fraction, postoperative intravenous pacemaker lead placement through the tricuspid valve, pulmonary hypertension, and severity of preoperative TR have been reported as independent risk factors for postoperative recurrent TR after TAP [4,5]. Furthermore, there have been reports regarding the relationship between the specific morphological features of tricuspid valve and TR recurrence.…”

Section: Discussionmentioning

confidence: 99%

Right-sided double valve replacement in an adult patient who underwent surgery for pulmonary stenosis in childhood: a case report

Kobayashi

Uchida

Kuroda

et al. 2020

J Cardiothorac Surg

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Background: Pulmonary regurgitation and the subsequent functional tricuspid regurgitation are frequently observed in adult patients who previously underwent pulmonary valvular operations. Pulmonary valve replacement, in combination with tricuspid annuloplasty, is frequently performed in adult patients. However, postoperative worsening or recurrence of tricuspid regurgitation is a major concern after pulmonary valve replacement with tricuspid annuloplasty. Case presentation: Herein, we describe the case of a 56-year-old woman with severe pulmonary regurgitation and functional tricuspid regurgitation after congenital pulmonary stenosis surgery in childhood. Functional tricuspid regurgitation was due to tricuspid annular dilatation, marked right ventricle enlargement, and significant tethering. We performed a bioprosthetic double valve replacement, and the postoperative course was uneventful. The patient is doing well one year after the surgery without prosthetic valve dysfunction. Conclusions: When functional tricuspid regurgitation is severe and is associated with right ventricular dilatation and subsequent tethering, tricuspid valve replacement rather than annuloplasty should be considered.

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Section: Discussionmentioning

confidence: 99%

Right-sided double valve replacement in an adult patient who underwent surgery for pulmonary stenosis in childhood: a case report

Kobayashi

Uchida

Kuroda

et al. 2020

J Cardiothorac Surg

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“…So, they recommended the routine use of a ring in TVA [24]. In accordance, many authors declared that a TVA using a ring or band had early and late favorable outcomes with lower TR recurrence rates compared to DeVega suture TVA [7,10,25,26]. Nevertheless, other studies showed better results or at least no difference when using the DeVega TVA [27,28].…”

Section: Study Limitationsmentioning

confidence: 98%

Autologous Pericardial Band for Tricuspid Valve Annuloplasty: Midterm Results

Abdelaal

Abdel-Bary

Mahmoud

et al. 2022

Egypt. Cardiothoracic. Surg.

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Background: Even though tricuspid regurgitation (TR) is a frequent cardiac valve disorder, and tricuspid valve annuloplasty (TVA) has been evolved to manage TR for more than 50 years, there is still a substantial controversy regarding the best durable method for TVA. We reported our midterm (3 years) outcomes of TVA using autologous pericardial (AP) band comparing it with DeVega annuloplasty for the management of functional TR. Methods: Between January 2017 and November 2018, about 175 cases with moderate or more TR underwent TVA as a part of primary left-sided valve replacement surgery. Autologous pericardial (AP) TVA was performed in 100 patients, and DeVega TVA in 75 patients. Results: Both groups are comparable as regards preoperative characteristics. Immediate postoperatively, regarding NYHA class, degree of TR, ejection fraction, and pulmonary artery systolic pressure, there was a marked improvement within the 2 groups compared to the preoperative values, without a significant difference between both groups. 94% of patients completed the follow-up period. In hospital death was 2% in the AP group, and 1% in the DeVega group. The AP group showed a marked improvement in the mean degree of TR at the same follow-up period compared to the DeVega group, 12% patients of the AP group and 21% patients of the De Vega group had 3+ or 4+ TR at 3 years postoperative follow up. There was a marked improvement in the Diastolic tricuspid annuloplasty diameter in the AP group compared to the DeVega group. There were 6.3% late deaths in our study. Conclusion: TVA with an AP was more durable than the DeVega in avoiding postoperative TR progression on the midterm results.

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“…After application of the inclusion and exclusion criteria, 31 relevant articles were included in the study 5,12, : randomized trials (n = 3), 24,42,45 propensity score-adjusted (n = 4), 12,26,31,46 and observational non-adjusted (n = 24). 5,[20][21][22]24,[26][27][28][29][31][32][33][34][35][36][37][38][39][40][41][42][43][45][46][47][48] A total of 9663 patients were included for analysis. Among them, the funnel plots did not show significant asymmetry to suggest publication bias with outcomes selected (Figure S2).…”

Section: Literature Searchmentioning

confidence: 99%

The best approach for functional tricuspid regurgitation: A network meta‐analysis

et al. 2021

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Objective For many years, functional tricuspid regurgitation (FTR) was considered negligible after treatment of left‐sided heart valve surgery. The aim of the present network meta‐analysis is to summarize the results of four approaches to establish the possible gold standard. Methods A systematic search was performed to identify all publications reporting the outcomes of four approaches for FTR, not tricuspid annuloplasty (no TA), suture annuloplasty (SA), flexible (FRA), rigid rings (RRA). All studies reporting at least one the four endpoints (early and late mortality, early and late moderate or more TFR) were included in a Bayesian network meta‐analysis. Results There were 31 included studies with 9663 patients. Aggregate early mortality was 5.3% no TA, 7.2% SA, 6.6% FRA, and 6.4% RRA; early TR moderate‐or‐more was 9.6%, 4.8%, 4.6%, and 3.8%; late mortality was 22.5%, 18.2%, 11.9%, and 11.9%; late TR moderate‐or‐more was 27.9%, 18.3%, 14.3%, and 6.4%. Rigid or semirigid ring annuloplasty was the most effective approach for decreasing the risk of late moderate or more FTR (–85% vs. no TA; –64% vs. SA; –32% vs. FRA). Concerning late mortality, no significant differences were found among different surgical approaches; however, flexible or rigid rings reduced significantly the risk of late mortality (78% and 47%, respectively) compared with not performing TA mortality. No differences were found for early outcomes. Conclusions Ring annuloplasty seems to offer better late outcomes compare to either suture annuloplasty or not performing TA. In particular rigid or semirigid rings provide more stable FTR across time.

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Efficiency of different annuloplasty in treating functional tricuspid regurgitation and risk factors for recurrence

Cited by 3 publications

References 31 publications

Right-sided double valve replacement in an adult patient who underwent surgery for pulmonary stenosis in childhood: a case report

Right-sided double valve replacement in an adult patient who underwent surgery for pulmonary stenosis in childhood: a case report

Autologous Pericardial Band for Tricuspid Valve Annuloplasty: Midterm Results

The best approach for functional tricuspid regurgitation: A network meta‐analysis

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