Results after Repair of Functional Tricuspid Regurgitation with a Three-Dimensional Annuloplasty Ring

Background: Tricuspid valve (TV) repair is the recommended treatment for severe functional tricuspid regurgitation (fTR) in patients undergoing left-sided surgery. For this purpose, a wide range of annuloplasty devices differing in form and flexibility are available. This study reports the results u...

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Autores principales:	Elda Dzilic, Thomas Guenther, Amel Bouziani, Bernhard Voss, Stephanie Voss, Keti Vitanova, Markus Krane, Ruediger Lange
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	tricuspid valve repair annuloplasty ring functional tricuspid regurgitation Medicine R
Acceso en línea:	https://doaj.org/article/556b47c4f08342e8a22a5bbf5cc049dc
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spelling	oai:doaj.org-article:556b47c4f08342e8a22a5bbf5cc049dc2021-11-11T17:42:30ZResults after Repair of Functional Tricuspid Regurgitation with a Three-Dimensional Annuloplasty Ring10.3390/jcm102150802077-0383https://doaj.org/article/556b47c4f08342e8a22a5bbf5cc049dc2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5080https://doaj.org/toc/2077-0383Background: Tricuspid valve (TV) repair is the recommended treatment for severe functional tricuspid regurgitation (fTR) in patients undergoing left-sided surgery. For this purpose, a wide range of annuloplasty devices differing in form and flexibility are available. This study reports the results using a three-dimensional annuloplasty ring (Medtronic, Contour 3D Ring) for TV repair and analysis of risk factors. Methods: A cohort of 468 patients who underwent TV repair (TVr) with a concomitant cardiac procedure from December 2010 to January 2017 was retrospectively analyzed. Results: At follow-up, 96.1% of patients had no/trivial or mild TR. The 30-day mortality was 4.7%; it significantly differed between electively performed operations (2.7%) and urgent/emergent operations (11.7%). Risk factors for recurrent moderate and severe TR were LVEF < 50%, TAPSE < 16 mm, and moderate mitral valve (MV) regurgitation at follow-up. Preoperatively reduced renal function lead to a higher 30-day and overall mortality. Reoperation of the TV was required in six patients (1.6%). Risk factors for TV related reoperations were preoperative TV annulus over 50 mm and an implanted permanent pacemaker. Conclusions: TVr with the Contour 3D annuloplasty ring shows low TR recurrence and reoperation rates. Risk-factor analysis for the recurrence of TR revealed the importance of left- and right-ventricular function.Elda DzilicThomas GuentherAmel BouzianiBernhard VossStephanie VossKeti VitanovaMarkus KraneRuediger LangeMDPI AGarticletricuspid valve repairannuloplasty ringfunctional tricuspid regurgitationMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5080, p 5080 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	tricuspid valve repair annuloplasty ring functional tricuspid regurgitation Medicine R
spellingShingle	tricuspid valve repair annuloplasty ring functional tricuspid regurgitation Medicine R Elda Dzilic Thomas Guenther Amel Bouziani Bernhard Voss Stephanie Voss Keti Vitanova Markus Krane Ruediger Lange Results after Repair of Functional Tricuspid Regurgitation with a Three-Dimensional Annuloplasty Ring
description	Background: Tricuspid valve (TV) repair is the recommended treatment for severe functional tricuspid regurgitation (fTR) in patients undergoing left-sided surgery. For this purpose, a wide range of annuloplasty devices differing in form and flexibility are available. This study reports the results using a three-dimensional annuloplasty ring (Medtronic, Contour 3D Ring) for TV repair and analysis of risk factors. Methods: A cohort of 468 patients who underwent TV repair (TVr) with a concomitant cardiac procedure from December 2010 to January 2017 was retrospectively analyzed. Results: At follow-up, 96.1% of patients had no/trivial or mild TR. The 30-day mortality was 4.7%; it significantly differed between electively performed operations (2.7%) and urgent/emergent operations (11.7%). Risk factors for recurrent moderate and severe TR were LVEF < 50%, TAPSE < 16 mm, and moderate mitral valve (MV) regurgitation at follow-up. Preoperatively reduced renal function lead to a higher 30-day and overall mortality. Reoperation of the TV was required in six patients (1.6%). Risk factors for TV related reoperations were preoperative TV annulus over 50 mm and an implanted permanent pacemaker. Conclusions: TVr with the Contour 3D annuloplasty ring shows low TR recurrence and reoperation rates. Risk-factor analysis for the recurrence of TR revealed the importance of left- and right-ventricular function.
format	article
author	Elda Dzilic Thomas Guenther Amel Bouziani Bernhard Voss Stephanie Voss Keti Vitanova Markus Krane Ruediger Lange
author_facet	Elda Dzilic Thomas Guenther Amel Bouziani Bernhard Voss Stephanie Voss Keti Vitanova Markus Krane Ruediger Lange
author_sort	Elda Dzilic
title	Results after Repair of Functional Tricuspid Regurgitation with a Three-Dimensional Annuloplasty Ring
title_short	Results after Repair of Functional Tricuspid Regurgitation with a Three-Dimensional Annuloplasty Ring
title_full	Results after Repair of Functional Tricuspid Regurgitation with a Three-Dimensional Annuloplasty Ring
title_fullStr	Results after Repair of Functional Tricuspid Regurgitation with a Three-Dimensional Annuloplasty Ring
title_full_unstemmed	Results after Repair of Functional Tricuspid Regurgitation with a Three-Dimensional Annuloplasty Ring
title_sort	results after repair of functional tricuspid regurgitation with a three-dimensional annuloplasty ring
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/556b47c4f08342e8a22a5bbf5cc049dc
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Results after Repair of Functional Tricuspid Regurgitation with a Three-Dimensional Annuloplasty Ring

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