Long-term outcomes of pericardial strip versus prosthetic ring annuloplasty for secondary tricuspid regurgitation by a minimally invasive approach

Abstract Background This study was conducted to compare the outcomes of prosthetic ring versus autologous pericardial strip for the treatment of functional tricuspid regurgitation during left-sided valve surgery by minimally invasive approach. Methods From January 2008 and July 2016, autologous peri...

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Autores principales:	Giuseppe Nasso, Nicola Di Bari, Giuseppe Santarpino, Marco Moscarelli, Mario Siro Brigiani, Ignazio Condello, Francesco Bartolomucci, Giuseppe Speziale
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Pericardial strip annuloplasty Secondary tricuspid regurgitation Autologous pericardial strip Tricuspid annuloplasty Surgery RD1-811 Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/d5c93ea498884bc983e7eca77e4d5f69
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spelling	oai:doaj.org-article:d5c93ea498884bc983e7eca77e4d5f692021-11-28T12:30:53ZLong-term outcomes of pericardial strip versus prosthetic ring annuloplasty for secondary tricuspid regurgitation by a minimally invasive approach10.1186/s13019-021-01723-41749-8090https://doaj.org/article/d5c93ea498884bc983e7eca77e4d5f692021-11-01T00:00:00Zhttps://doi.org/10.1186/s13019-021-01723-4https://doaj.org/toc/1749-8090Abstract Background This study was conducted to compare the outcomes of prosthetic ring versus autologous pericardial strip for the treatment of functional tricuspid regurgitation during left-sided valve surgery by minimally invasive approach. Methods From January 2008 and July 2016, autologous pericardial strip (group P-TAP) was used in 109 patients, and prosthetic ring (group R-TAP) in 115 patients. The primary outcomes were long-term overall survival, development of patch degeneration, and significant tricuspid regurgitation recurrence. The second outcome was the assessment of right ventricular functional parameters. Results Operative mortality was 1 case (0.9%) in the R-TAP group. At the time of hospital discharge only one patient (0.9%) in the R-TAP group had grade III+ tricuspid regurgitation, and none had grade IV+. Mean follow-up was 94.1 ± 24.5 months. Mild and moderate tricuspid regurgitation recurrence was 3.7% and 4.5% (P-TAP vs. R-TAP groups, p = 0.99). Severe regurgitation was observed in 1.8% of cases only in the R-TAP group (p = 0.49). There were no reoperations. Late mortality was 3.7% and 5.4% (P-TAP vs. R-TAP groups, p = 0.75). Freedom from death, all causes, were comparable among groups (log-rank p = 0.45). There were no statistically significant differences between two groups in TAPSE, left ventricular end-diastolic diameter, left ventricular ejection fraction, and left atrial diameter. Conclusions Tricuspid annuloplasty using an autologous pericardial strip in patients undergoing minimally invasive surgery is associated to similar long results (survival, late tricuspid regurgitation, and functional echocardiographic parameters) than annuloplasty with a prosthetic ring. In particular, the pericardial strip over time does not develop any degeneration or retraction.Giuseppe NassoNicola Di BariGiuseppe SantarpinoMarco MoscarelliMario Siro BrigianiIgnazio CondelloFrancesco BartolomucciGiuseppe SpezialeBMCarticlePericardial strip annuloplastySecondary tricuspid regurgitationAutologous pericardial stripTricuspid annuloplastySurgeryRD1-811AnesthesiologyRD78.3-87.3ENJournal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pericardial strip annuloplasty Secondary tricuspid regurgitation Autologous pericardial strip Tricuspid annuloplasty Surgery RD1-811 Anesthesiology RD78.3-87.3
spellingShingle	Pericardial strip annuloplasty Secondary tricuspid regurgitation Autologous pericardial strip Tricuspid annuloplasty Surgery RD1-811 Anesthesiology RD78.3-87.3 Giuseppe Nasso Nicola Di Bari Giuseppe Santarpino Marco Moscarelli Mario Siro Brigiani Ignazio Condello Francesco Bartolomucci Giuseppe Speziale Long-term outcomes of pericardial strip versus prosthetic ring annuloplasty for secondary tricuspid regurgitation by a minimally invasive approach
description	Abstract Background This study was conducted to compare the outcomes of prosthetic ring versus autologous pericardial strip for the treatment of functional tricuspid regurgitation during left-sided valve surgery by minimally invasive approach. Methods From January 2008 and July 2016, autologous pericardial strip (group P-TAP) was used in 109 patients, and prosthetic ring (group R-TAP) in 115 patients. The primary outcomes were long-term overall survival, development of patch degeneration, and significant tricuspid regurgitation recurrence. The second outcome was the assessment of right ventricular functional parameters. Results Operative mortality was 1 case (0.9%) in the R-TAP group. At the time of hospital discharge only one patient (0.9%) in the R-TAP group had grade III+ tricuspid regurgitation, and none had grade IV+. Mean follow-up was 94.1 ± 24.5 months. Mild and moderate tricuspid regurgitation recurrence was 3.7% and 4.5% (P-TAP vs. R-TAP groups, p = 0.99). Severe regurgitation was observed in 1.8% of cases only in the R-TAP group (p = 0.49). There were no reoperations. Late mortality was 3.7% and 5.4% (P-TAP vs. R-TAP groups, p = 0.75). Freedom from death, all causes, were comparable among groups (log-rank p = 0.45). There were no statistically significant differences between two groups in TAPSE, left ventricular end-diastolic diameter, left ventricular ejection fraction, and left atrial diameter. Conclusions Tricuspid annuloplasty using an autologous pericardial strip in patients undergoing minimally invasive surgery is associated to similar long results (survival, late tricuspid regurgitation, and functional echocardiographic parameters) than annuloplasty with a prosthetic ring. In particular, the pericardial strip over time does not develop any degeneration or retraction.
format	article
author	Giuseppe Nasso Nicola Di Bari Giuseppe Santarpino Marco Moscarelli Mario Siro Brigiani Ignazio Condello Francesco Bartolomucci Giuseppe Speziale
author_facet	Giuseppe Nasso Nicola Di Bari Giuseppe Santarpino Marco Moscarelli Mario Siro Brigiani Ignazio Condello Francesco Bartolomucci Giuseppe Speziale
author_sort	Giuseppe Nasso
title	Long-term outcomes of pericardial strip versus prosthetic ring annuloplasty for secondary tricuspid regurgitation by a minimally invasive approach
title_short	Long-term outcomes of pericardial strip versus prosthetic ring annuloplasty for secondary tricuspid regurgitation by a minimally invasive approach
title_full	Long-term outcomes of pericardial strip versus prosthetic ring annuloplasty for secondary tricuspid regurgitation by a minimally invasive approach
title_fullStr	Long-term outcomes of pericardial strip versus prosthetic ring annuloplasty for secondary tricuspid regurgitation by a minimally invasive approach
title_full_unstemmed	Long-term outcomes of pericardial strip versus prosthetic ring annuloplasty for secondary tricuspid regurgitation by a minimally invasive approach
title_sort	long-term outcomes of pericardial strip versus prosthetic ring annuloplasty for secondary tricuspid regurgitation by a minimally invasive approach
publisher	BMC
publishDate	2021
url	https://doaj.org/article/d5c93ea498884bc983e7eca77e4d5f69
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Long-term outcomes of pericardial strip versus prosthetic ring annuloplasty for secondary tricuspid regurgitation by a minimally invasive approach

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