Technique and Results of Tricuspid Annuloplasty

Rábago, Gregorio; Fraile, J.; Martinell, J.; Artiz, V.

doi:10.1111/j.1540-8191.1986.tb00712.x

Cited by 13 publications

(2 citation statements)

References 9 publications

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“…However, due to unsatisfactory long-term outcomes of Kay suture annuloplasty, new methods, such as the De Vega technique introduced by De Vega, have emerged. The De Vega technique entails narrowing the dilated annulus around the anterior and septal leaflets using purse-string sutures [ 14 ]. Carpentier introduced the first rigid ring annuloplasty in 1974, two years after the De Vega technique [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Tricuspid repair: short and long-term results of suture annuloplasty techniques and rigid and flexible ring annuloplasty techniques

Türkmen,

Bozkurt,

Özyalçın

et al. 2024

J Cardiothorac Surg

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Background Functional tricuspid regurgitation may arise from left heart valve diseases or other factors. If not addressed concurrently with primary surgical intervention, it may contribute to increased morbidity and mortality rates during the postoperative period. This study investigates the impact of various repair techniques on crucial factors such as systolic pulmonary artery pressure (SPAP), tricuspid valve regurgitation, and New York Heart Association (NYHA) functional capacity class in the postoperative period. Materials and methods From April 2007 to June 2013, 379 adults underwent open-heart surgery for functional tricuspid regurgitation. Patients were categorized into four groups: Group 1 (156) with De Vega suture annuloplasty, Group 2 (60) with Kay suture annuloplasty, Group 3 (122) with Flexible Duran ring annuloplasty, and Group 4 (41) with Semi-Rigid Carpentier-Edwards ring annuloplasty. Demographic, clinical, operative, and postoperative data were recorded over a mean follow-up of 35.6 ± 19.1 months. Postoperative SPAP values, tricuspid regurgitation grades, and NYHA functional capacity classes were compared among the groups. Results No statistically significant differences were observed among the groups regarding age, gender, preoperative disease diagnoses, history of previous cardiac operations, or echocardiographic characteristics such as preoperative ejection fraction, SPAP, and tricuspid regurgitation. Hospital and intensive care unit length of stay and postoperative complications also showed no significant differences. However, patients in Group 3 exhibited longer Cardio-Pulmonary Bypass duration, cross-clamp duration, and higher positive inotrope requirements. While the mortality rate within the first 30 days was higher in Group 1 compared to the other groups (p: 0.011), overall mortality rates did not significantly differ among the groups. Significant regression in functional tricuspid regurgitation and a notable decrease in SPAP values were observed in patients from Group 3 and Group 4 (p: 0.001). Additionally, patients in Group 3 and Group 4 showed a more significant reduction in NYHA functional capacity classification during the postoperative period (p: 0.001). Conclusion Among the repair techniques, ring annuloplasty demonstrated superiority in reducing SPAP, regressing tricuspid regurgitation, and improving NYHA functional capacity in functional tricuspid regurgitation repairs.

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Section: Discussionmentioning

confidence: 99%

Tricuspid repair: short and long-term results of suture annuloplasty techniques and rigid and flexible ring annuloplasty techniques

Türkmen,

Bozkurt,

Özyalçın

et al. 2024

J Cardiothorac Surg

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“…The second stitch is placed parallel to the first stitch, 1–3 mm higher, with both sutures alternating clockwise relative to the first stitch. The depth of the needle is approximately 2 mm and 10–12 stitches are made in each suture [ 59 ]. Two needles are threaded through the other spacer at the junction of the front compartment.…”

Section: Types Of Surgery For Trmentioning

confidence: 99%

Surgical Treatment Strategy of Functional Tricuspid Regurgitation

Wang,

Huang,

Sun

et al. 2024

Rev. Cardiovasc. Med.

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Functional tricuspid regurgitation (FTR) is a common type of tricuspid regurgitation (TR), particularly in cases of left heart valve disease. Historically, cardiac surgeons have not placed much emphasis on FTR and instead focused primarily on managing left heart valve disease. However, as research has progressed, it has become evident that severe TR significantly impacts the prognosis of heart valve surgery. Furthermore, significant improvements in postoperative cardiac function and quality of life have been observed when addressing the tricuspid valve alongside left heart disease management. This article aims to review current approaches for and timing of the surgical management of FTR while also analyzing the limitations of existing tricuspid surgical strategies.

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Mitralstenose

Franke¹,

Hanrath²

2000

Klinische Kardiologie

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Technique and Results of Tricuspid Annuloplasty

Cited by 13 publications

References 9 publications

Tricuspid repair: short and long-term results of suture annuloplasty techniques and rigid and flexible ring annuloplasty techniques

Tricuspid repair: short and long-term results of suture annuloplasty techniques and rigid and flexible ring annuloplasty techniques

Surgical Treatment Strategy of Functional Tricuspid Regurgitation

Mitralstenose

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