Surgical management of secondary tricuspid valve regurgitation: Annulus, commissure, or leaflet procedure?

Navia, José L.; Nowicki, Edward R.; Blackstone, Eugene H.; Brozzi, Nicolas; Nento, Daniel; Atik, Fernando Antibas; Rajeswaran, Jeevanantham; Gillinov, A. Marc; Svensson, Lars; Lytle, Bruce W.

doi:10.1016/j.jtcvs.2010.02.046

Cited by 244 publications

(185 citation statements)

References 24 publications

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“…Ghoreishi [28] showed that the rigid three-dimensional ring could be the most reliable and durable treatment for FTR. This ring annuloplasty provides an early and sustained reduction of TR secondary to LVD, which has been reported by Navia [29]. In our series, the recurrent rates were significantly lower in the Rigid Group than in the Flexible Group postoperatively.…”

Section: Tablesupporting

confidence: 76%

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

Lin

Wang

Chen

et al. 2013

Journal of the American College of Surgeons

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Section: Tablesupporting

confidence: 76%

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

Lin

Wang

Chen

et al. 2013

Journal of the American College of Surgeons

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“…Navia et al (12) and Izutani et al (13) reported a lower rate of recurrent TR with a rigid annuloplasty ring compared with a flexible ring. On the contrast, Pfannmüller et al (14) reported a higher rate of annuloplasty dehiscence after the implantation of a rigid ring.…”

Section: Original Articlementioning

confidence: 97%

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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“…Tricuspid annuloplasty (TA) is currently recommended for the treatment of significant TR3, 4 and has been increasingly performed over the past decade 5. Although TA has shown a satisfactory outcome in the short term, postoperative residual significant TR and mortality remain high during long‐term follow‐up 6, 7. Accurate preoperative risk evaluation is essential to identify patients at high risk and improve clinical outcome.…”

Section: Introductionmentioning

confidence: 99%

Prognostic Value of Hepatorenal Function By Modified Model for End‐stage Liver Disease (MELD) Score in Patients Undergoing Tricuspid Annuloplasty

Chen

Liu

Seto

et al. 2018

JAHA

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BackgroundThe Model for End‐stage Liver Disease excluding international normalized ratio (MELD‐XI) score and the modified MELD score with albumin replacing international normalized ratio (MELD‐Albumin) score, which reflect both liver and renal function, have been reported as predictors of adverse events in liver and heart disease. Nonetheless, their prognostic value in patients undergoing tricuspid annuloplasty has not been addressed.Methods and ResultsA total of 394 patients who underwent tricuspid annuloplasty were evaluated. Baseline clinical, laboratory, and echocardiographic parameters were recorded. Adverse outcome was defined as the occurrence of heart failure requiring admission or all‐cause mortality. Patients who underwent tricuspid annuloplasty had a high prevalence of preoperative hepatorenal dysfunction that was more common in patients with severe tricuspid regurgitation than those with mild to moderate tricuspid regurgitation. The MELD‐XI and MELD‐Albumin scores were excellent predictors of 1‐year adverse outcome (area under the curve: 0.69 and 0.75, respectively). Kaplan–Meier survival curve demonstrated that a high score on MELD‐XI (≥12.0) and MELD‐Albumin (≥10.7) was associated with an increased risk of adverse events. During a median follow‐up of 40 months, both MELD‐XI and MELD‐Albumin scores were significantly associated with adverse outcome, even after adjusting for potential confounding factors. Significant improvement of hepatorenal function at 1 year postoperation was noted only in patients who had no adverse events, not in those who experienced an adverse outcome.ConclusionsBoth MELD‐XI score and MELD‐Albumin score can provide useful information to predict adverse outcome in patients undergoing tricuspid annuloplasty. The present study supports monitoring of modified MELD score to improve preoperative risk stratification of these patients.

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Surgical management of secondary tricuspid valve regurgitation: Annulus, commissure, or leaflet procedure?

Cited by 244 publications

References 24 publications

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

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

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

Prognostic Value of Hepatorenal Function By Modified Model for End‐stage Liver Disease (MELD) Score in Patients Undergoing Tricuspid Annuloplasty

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