Outcomes of ring versus suture annuloplasty for tricuspid valve repair in patients undergoing mitral valve surgery

Shinn, Sung Ho; Dayan, Víctor; Schaff, Hartzell V.; Dearani, Joseph A.; Joyce, Lyle D.; Lahr, Brian D.; Greason, Kevin L.; Stulak, John M.; Daly, Richard C.

doi:10.1016/j.jtcvs.2016.04.068

Cited by 45 publications

(37 citation statements)

References 24 publications

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“…More than 80% of TR encountered in clinical practice is secondary or functional in nature. FTR usually results from left-sided heart disease, most often MV stenosis or regurgitation (16). The common mechanism of FTR is annular dilatation and leaflet tethering.…”

Section: Mortality and Follow Upmentioning

confidence: 99%

Comparison of outcomes of tricuspid annuloplasty with 3D-rigid versus flexible prosthetic ring for functional tricuspid regurgitation secondary to rheumatic mitral valve disease

Wang¹,

Liu

Wang

et al. 2016

J. Thorac. Dis.

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Background: Annuloplasty bands and rings are widely used for repairing functional tricuspid regurgitation (FTR). However, the question regarding which is the ideal annuloplasty device remains unclear. The aim of this study was to compare the efficacy and mid-term durability of tricuspid ring annuloplasty for FTR secondary to rheumatic mitral valve disease using flexible Cosgrove-Edwards band and the rigid Edwards Results: The grade of TR was significantly improved compared to preoperative values in two groups.There was no significant difference regarding postoperative TR grade between the two groups at 1 week and 2-3 months but there was statistical significant difference at postoperative 6-12 months, and 2-3 years.During the follow up period, 25 of 46 patients (54.3%) in flexible group and 22 of 60 patients (30.3%) in rigid group developed recurrent TR. Freedom from recurrent TR in flexible group is significant lower than rigid group in each postoperative follow up period.Conclusions: These findings suggest that 3D rigid ring annuloplasty might be more effective for tricuspid ring annuloplasty in FTR in mid-term postoperative periods when compared to flexible band.

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Section: Mortality and Follow Upmentioning

confidence: 99%

Comparison of outcomes of tricuspid annuloplasty with 3D-rigid versus flexible prosthetic ring for functional tricuspid regurgitation secondary to rheumatic mitral valve disease

Wang¹,

Liu

Wang

et al. 2016

J. Thorac. Dis.

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“…20 Systolic pulmonary artery pressure (sPAP) was estimated by continuous-wave Doppler of the TR jet using the modified Bernoulli equation and right atrial pressure, which was estimated according to inferior vena cava size. 10 The indications for TAP included grade 3 or 4 TR and/or pulmonary hypertension (sPAP >50 mmHg) and/or TV annular dilatation (>21 mm/m 2 ) and/or symptomatic right heart failure (HF).…”

Section: Methodsmentioning

confidence: 99%

“…10 Several studies have demonstrated the superiority of ring annuloplasty over suture annuloplasty. 11-15 However, others have supported suture annuloplasty, pointing out its predominance or the shortcomings of ring annuloplasty, such as moderate to severe TR remaining in approximately 10% of patients after TAP using prosthetic rings, 9 an increased risk of early ring dehiscence after the use of a rigid ring, 16,17 and the satisfactory early and long-term outcomes of suture annuloplasty.…”

mentioning

confidence: 99%

Long-Term Outcomes of Suture vs. Ring Tricuspid Annuloplasty for Functional Tricuspid Regurgitation

Hata

Fujita

Miura

et al. 2017

Circ J

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Background:Whether there is a significant difference in the long-term surgical outcomes between suture annuloplasty and ring annuloplasty for the treatment of functional tricuspid regurgitation (TR) is still controversial. We compared the long-term outcomes of tricuspid annuloplasty (TAP) with and without an annuloplasty ring. Methods and Results:From January 1996 to December 2015, we consecutively enrolled 684 patients (mean age, 65.5 years; 60% women) undergoing TAP for functional TR: 312 underwent conventional suture annuloplasty (Group S) and 372 underwent ring annuloplasty (Group R). Baseline characteristics were comparable between the 2 groups, except for age and the prevalence of prior cardiac surgery. The mean follow-up period was 7.3 years (range, 0.3-20.3 years).There was no significant difference in overall survival, freedom from major adverse cardiac and cerebrovascular events, and freedom from recurrent moderate to severe TR between Groups S and R, although postoperative mean TR grade and sPAP were significantly lower in Group R. Multivariate analysis revealed that age, prior cardiac surgery, and preoperative severe TR were independent predictors of recurrent moderate or greater TR. Conclusions:There was no significant difference in the long-term surgical outcomes between ring and suture TAP, although postoperative mean TR grade was lower in the ring annuloplasty group.

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“…Nema razlike u preživljenju bolesnika, kasnijemu funkcijskom statusu, progresiji TR-a ili reoperaciji trikuspidnog zalistka između spomenutih dviju metode na temelju nedavnoga retrospektivnog ispitivanja. 28 Obje tehnike pokazuju dobre rezultate. Anuloplastika postavljanjem šavova brža je i jeftinija metoda.…”

unclassified

“…No difference in patient survival, late functional status, progression of TR or tricuspid valve reoperations has been found in a recent retrospective study comparing patients treated with suture annuloplasty and those submitted to ring annuloplasty. 28 Both techniques have been shown to yield good results. Suture annuloplasty can be performed easily and rapidly with a lower cost compared with ring annuloplasty which requires a commercially available prosthetic device.…”

mentioning

confidence: 99%

The year in cardiology 2016: valvular heart disease

Alfieri¹,

Vahanian²

2017

Cardiologia Croatica

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Outcomes of ring versus suture annuloplasty for tricuspid valve repair in patients undergoing mitral valve surgery

Abstract: Late survival and TV durability following concomitant TV repair during MV surgery did not differ with respect to TV repair technique. In this series of patients with repaired tricuspid valves, etiology of MV disease did not influence postoperative changes in TR.

Cited by 45 publications

References 24 publications

Comparison of outcomes of tricuspid annuloplasty with 3D-rigid versus flexible prosthetic ring for functional tricuspid regurgitation secondary to rheumatic mitral valve disease

Comparison of outcomes of tricuspid annuloplasty with 3D-rigid versus flexible prosthetic ring for functional tricuspid regurgitation secondary to rheumatic mitral valve disease

Long-Term Outcomes of Suture vs. Ring Tricuspid Annuloplasty for Functional Tricuspid Regurgitation

The year in cardiology 2016: valvular heart disease

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