Concomitant three-dimensional prosthetic ring annuloplasty for functional tricuspid valve disease in patients with chronic ischemic mitral regurgitation

2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
S Geidel ◽  
C Schneider ◽  
M Lass ◽  
K Hassan ◽  
A Pape ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Tricuspid Valve ◽  
Three Dimensional ◽  
Ischemic Mitral Regurgitation ◽  
Valve Disease ◽  
Ring Annuloplasty ◽  
Chronic Ischemic Mitral Regurgitation ◽  
Prosthetic Ring

scholarly journals A comparative analysis between ring annuloplasty and de vega annuloplasty in functional tricuspid regurgitation

2018 ◽  
Vol 5 (6) ◽  
pp. 2131 ◽  
Author(s):  
Jai Bhagwan ◽  
Soumya Guha ◽  
Anubhav Gupta ◽  
Ajit Kumar Padhy ◽  
Vijay Grover ◽  
...  
Keyword(s):  
Tricuspid Valve ◽  
Valve Disease ◽  
Functional Tricuspid Regurgitation ◽  
Retrospective Data Analysis ◽  
Ring Annuloplasty ◽  
Study Results ◽  
Significant Difference ◽  
Patient Selection Criteria ◽  
Prosthetic Ring

Background: Tricuspid valve disease frequently accompanies left side valve disease. Surgical correction of significant functional TR at the time of left side valve surgery is recommended. The current study was under taken to assess the early impact of ring annuloplasty and De Vega annuloplasty techniques in functional significant TR in a predominantly rheumatic population.Methods: Between January 2010 and January 2014, a total 80 patients underwent surgery for functional tricuspid valve disease. Retrospective data analysis was done. The patient selection criteria were as per the institutional protocol (for all functional severe TR and moderate TR with Tricuspid Index > 21mm/m2) based on preoperative TTE (Trans-thoracic Echocardiography) findings and the type of procedure was the surgeon’s decision on table. Techniques routinely involved in the repair procedures included tricuspid prosthetic ring Annuloplasty (MC3) and De Vega suture annuloplasty. Postoperatively all the patient had routine TTE before hospital discharge (considered as immediate post op period). Follow up was present till 6 months post-operatively (in the form of another TTE and clinical data sheet) at the time of data collection for this study. Results: There was no statistically significant difference in residual significant TR when ring annuloplasty was compared to De Vega repair. There was significant improvement in NYHA status after both ring and De Vega annuloplasty.  Conclusions: Present study shows similar results with both the techniques of TV repair when applied to functionally significant TR in a pre-dominantly rheumatic population.

Outcomes of Mitral Valve Repair for Chronic Ischemic Mitral Regurgitation

2009 ◽  
Vol 17 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Lokeswara R Sajja ◽  
Gopichand Mannam ◽  
Bhaskara R S Dandu ◽  
Satyendranath Pathuri ◽  
Sriramulu Sompalli ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Mitral Valve Repair ◽  
Ischemic Mitral Regurgitation ◽  
Valve Repair ◽  
Chronic Ischemic Mitral Regurgitation

scholarly journals Preoperative Three-Dimensional Valve Analysis Predicts Recurrent Ischemic Mitral Regurgitation After Mitral Annuloplasty

2016 ◽  
Vol 101 (2) ◽  
pp. 567-575 ◽  
Author(s):  
Wobbe Bouma ◽  
Eric K. Lai ◽  
Melissa M. Levack ◽  
Eric K. Shang ◽  
Alison M. Pouch ◽  
...  
Keyword(s):  
Mitral Regurgitation ◽  
Three Dimensional ◽  
Ischemic Mitral Regurgitation ◽  
Mitral Annuloplasty

Mitral tetrahedron as a geometrical surrogate for chronic ischemic mitral regurgitation

2005 ◽  
Vol 289 (3) ◽  
pp. H1218-H1225 ◽  
Author(s):  
Hsi-Yu Yu ◽  
Mao-Yuan Su ◽  
Yih-Sharng Chen ◽  
Fang-Yue Lin ◽  
Wen-Yih Isaac Tseng
Keyword(s):  
Mitral Regurgitation ◽  
Surface Area ◽  
Left Ventricular ◽  
Ischemic Mitral Regurgitation ◽  
Volume Index ◽  
Left Ventricular Ejection ◽  
Area Index ◽  
Ventricular Ejection Fraction ◽  
Cutoff Values ◽  
Chronic Ischemic Mitral Regurgitation

The present study tests the hypothesis that a mitral tetrahedron (MT) is a useful geometrical surrogate for assessment of chronic ischemic mitral regurgitation (CIMR). Fifty-eight subjects were divided into three groups on the basis of left ventricular ejection fraction (LVEF) and the presence or absence of CIMR: LVEF ≥0.5 and negative CIMR ( group 1, n = 28), LVEF <0.5 and negative CIMR ( group 2, n = 12), and LVEF <0.5 and positive CIMR ( group 3, n = 18). MT was defined by its four vertices at the anterior annulus, posterior annulus, and medial and lateral papillary muscle roots, determined by MRI at peak systole. The results showed no clear cutoff values of MT parameters between groups 2 and 1. In contrast, all MT indexes were significantly different between groups 3 and 2 ( P < 0.05), and significant cutoff values differentiated the two groups. A scoring system employing parameters of the whole MT confirmed the absence of CIMR with total edge length index <268 mm/BSA1/3, total surface area index <2,528 mm2/BSA2/3, and volume index <5,089 mm3/BSA (where BSA is body surface area). The sensitivity, specificity, and positive and negative predictive values were 1.00. This preliminary study demonstrates that MT might serve as a good geometrical surrogate for assessing CIMR. The derived geometrical criteria of MT may be useful in surgical correction of CIMR.

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