Modified Semicircular Constricting Annuloplasty (Sagban's Annuloplasty) in Severe Functional Tricuspid Regurgitation: Alternative Surgical Technique and Its Mid-Term Results

Gökşin, İbrahim; Yılmaz, Ali Osman; Baltalarlı, Ahmet; Göktoğan, Tayfun; Karahan, Nagihan; Turk, Ufuk Ali; Kara, Hakan; Şağban, Mansur

doi:10.1111/j.1540-8191.2006.00203.x

Cited by 11 publications

(1 citation statement)

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“…The technical aspects of the various De Vega annuloplasty modifications followed the rationale to achieve better coaptation, reduced annular dimensions, and a better distribution of forces along the suture in order to prevent tear in the endocardium (56)(57)(58)(59)(60). The absence of constant mid-and longterm follow-up has limited a wider reproducibility of some of these techniques.…”

Section: Tricuspid Valve Annuloplasty Techniques and Outcomesmentioning

confidence: 99%

Functional Tricuspid Regurgitation: Behind the Scenes of a Long-Time Neglected Disease

Vinciguerra

Sitges

Pomar

et al. 2022

Front. Cardiovasc. Med.

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Severe tricuspid valve regurgitation has been for a long time a neglected valve disease, which has only recently attracted an increasing interest due to the notable negative impact on the prognosis of patients with cardiovascular disease. It is estimated that around 90% of tricuspid regurgitation is diagnosed as “functional” and mostly secondary to a primary left-sided heart disease and, therefore, has been usually interpreted as a benign condition that did not require a surgical management. Nevertheless, the persistence of severe tricuspid regurgitation after left-sided surgical correction of a valve disease, particularly mitral valve surgery, has been associated to adverse outcomes, worsening of the quality of life, and a significant increase in mortality rate. Similar results have been found when the impact of isolated severe tricuspid regurgitation has been studied. Current knowledge is shifting the “functional” categorization toward a more complex and detailed pathophysiological classification, identifying various phenotypes with completely different etiology, natural history and, potentially, an invasive management. The aim of this review is to offer a comprehensive guide for clinicians and surgeons with a systematic description of “functional” tricuspid regurgitation subtypes, an analysis centered on the effectiveness of existing surgical techniques and a focus on the emergent percutaneous procedures. This latter may be an attractive alternative to a standard surgical approach in patients with high-operative risk or isolated tricuspid regurgitation.

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