Determinants of recurrent tricuspid regurgitation following tricuspid valve annuloplasty during mitral valve surgery

2017 ◽  
Vol 32 (4) ◽  
pp. 237-244 ◽  
Author(s):  
Hisato Ito ◽  
Toru Mizumoto ◽  
Yasuhiro Sawada ◽  
Kazuya Fujinaga ◽  
Hironori Tempaku ◽  
...  
2021 ◽  
Vol 32 (4) ◽  
pp. 1103-1110
Author(s):  
Florian E. M. Herrmann ◽  
Anne‐Sophie Schleith ◽  
Helen Graf ◽  
Sebastian Sadoni ◽  
Christian Hagl ◽  
...  

2019 ◽  
Vol 73 (9) ◽  
pp. 2033
Author(s):  
Mohanad Hamandi ◽  
Robert Smith ◽  
William Ryan ◽  
Paul Grayburn ◽  
Alexander Crawford ◽  
...  

2020 ◽  
Vol 2 (2) ◽  
pp. 70-75
Author(s):  
Moataz Rezk ◽  
Shimaa Moustafa ◽  
Nora Singab ◽  
Ashraf Elnahas

Background: Management of moderate functional tricuspid regurgitation (FTR) secondary to left-sided valve lesion is controversial. The objective of this study was to compare the short-term results of surgical repair versus conservative treatment for moderate functional tricuspid regurgitation in concomitant with mitral valve surgery. Methods: Our study included 60 patients with mitral valve lesion and moderate functional tricuspid regurgitation. Patients were divided into 2 groups; group A included 30 patients whose tricuspid valve disease were managed conservatively, and group B included 30 patients who had tricuspid valve band annuloplasty. Results: Preoperative clinical and echocardiographic data were comparable between groups. There was no difference regarding mechanical ventilation time (6 .13 ± 3.02 vs. 7.01 ± 4.14 hours; p= 0.291), or intensive care unit stay (51.42 ± 12.1 vs. 52.31 ± 15.32 hours; p=0.614) in group A and B respectively. There was a significant improvement in the degree of tricuspid valve regurgitation in group B early postoperative (moderate tricuspid regurgitation reported in 22 (73.3%) vs. 4 (13.3%); p<0.001) and at 3 months (moderate tricuspid regurgitation 11 (36.7%) vs. 2 (6.7%); p<0.001) and 6 months follow up (moderate tricuspid regurgitation 10 (30%) vs.  2 (6.7%); p<0.001) in group A and B respectively. After 6-months, 20 (66.7%) patients in group A had dyspnea grade I compared to 26 (86.7%) patients in group B; p=0.021. Conclusion: Although the correction of the left-sided lesion improved the degree of TR in some patients, concomitant repair of the tricuspid valve could produce better improvement in the clinical outcome when compared to the conservative approach.


2013 ◽  
Vol 146 (5) ◽  
pp. 1126-1132.e10 ◽  
Author(s):  
Ravi R. Desai ◽  
Lina Maria Vargas Abello ◽  
Allan L. Klein ◽  
Thomas H. Marwick ◽  
Richard A. Krasuski ◽  
...  

2012 ◽  
Vol 19 (2) ◽  
pp. 70-76 ◽  
Author(s):  
Gille Koppers ◽  
David Verhaert ◽  
Frederik H. Verbrugge ◽  
Rozette Reyskens ◽  
Herbert Gutermann ◽  
...  

2013 ◽  
Vol 61 (05) ◽  
pp. 386-391 ◽  
Author(s):  
Alexander Verevkin ◽  
Michael Borger ◽  
Meinhard Mende ◽  
Piroze Davierwala ◽  
Jens Garbade ◽  
...  

Author(s):  
Khaled Alnawaiseh ◽  
Bashar Albkhoor ◽  
Yanal Alnaser ◽  
Hayel Aladwan ◽  
Issa Ghanma

Background: Tricuspid insufficiency (TI) is a functional insufficiency in most of the cases and associated with the dilatation of the annulus and remolding. Pulmonary hypertension and right ventricular volume overload due to chronic aortic or / and mitral valve disease in most of the time causes the functional tricuspid insufficiency. Despite the different techniques used to repair the tricuspid valve, the recurrent TR is still occurring in 20- 30 % of the patients and the development of late TR is an important complication of left heart surgery. Our study aims to compare the long-term outcome of ring annuloplasty with De Vega annnuloplasty in patients with secondary tricuspid regurgitation (TR).Methods: A retrospective study of 320 patients who underwent tricuspid valve repair surgery for secondary tricuspid regurgitation from January 2002 to December 2010 at Queen Alia Heart Institute (QAHI). Patients were divided into two groups, in group (1) (n=180) patients had an annuloplasty ring. Group (2) (n=140) patients had De Vega procedure (no ring). The procedures were performed in association with mitral valve surgery in 78% of patients, aortic valve surgery in 15% and combined aortic and mitral valve surgery in 7% of patients. TR grade, NYHA functional class and Pulmonary artery pressure were nearly similar and no significant preoperative difference between the two groups.Results: Echocardiographic and clinical follow up were done for all patients. The duration of procedure for both De Vega and ring annuloplasty were nearly similar. The overall survival in ring group at 5year was 83.9% versus 77.9% in De Vega group. Freedom from residual and recurrent TR, event free survival and long-term survival were significantly better in the ring group and also the tricuspid valve reoperation were less in the ring group.Conclusions: The implantation of annuloplasty ring results in lower incidence of residual or recurrent of tricuspid regurgitation, improved the event-free survival and long-term survival when compared with the sewing techniques such as De Vega.


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