Tricuspid repair: short and long-term results of suture annuloplasty techniques and rigid and flexible ring annuloplasty techniques
Abstract 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 th...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-024-02640-y |
| _version_ | 1827300838704414720 |
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| author | Ufuk Türkmen Tezcan Bozkurt Sertan Özyalçın Ilknur Günaydın Sadi Kaplan |
| author_facet | Ufuk Türkmen Tezcan Bozkurt Sertan Özyalçın Ilknur Günaydın Sadi Kaplan |
| author_sort | Ufuk Türkmen |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-24T16:12:55Z |
| format | Article |
| id | doaj.art-1f49ce06b48244e590cf6d396f3529a9 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-24T16:12:55Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-1f49ce06b48244e590cf6d396f3529a92024-03-31T11:35:10ZengBMCJournal of Cardiothoracic Surgery1749-80902024-03-0119111010.1186/s13019-024-02640-yTricuspid repair: short and long-term results of suture annuloplasty techniques and rigid and flexible ring annuloplasty techniquesUfuk Türkmen0Tezcan Bozkurt1Sertan Özyalçın2Ilknur Günaydın3Sadi Kaplan4Department of Cardiovascular Surgery, Hitit University Faculty of MedicineDepartment of Cardiovascular Surgery, Manisa City HospitalDepartment of Cardiovascular Surgery, Ankara Etlik City HospitalDepartment of Cardiovascular Surgery, Ankara Bilkent City HospitalDepartment of Cardiovascular Surgery, Hacettepe University Faculty of MedicineAbstract 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.https://doi.org/10.1186/s13019-024-02640-yTricuspid valve repairAnnuloplasty TechniquesFunctional tricuspid regurgitationSystolic pulmonary artery pressureNYHA Functional Capacity |
| spellingShingle | Ufuk Türkmen Tezcan Bozkurt Sertan Özyalçın Ilknur Günaydın Sadi Kaplan Tricuspid repair: short and long-term results of suture annuloplasty techniques and rigid and flexible ring annuloplasty techniques Journal of Cardiothoracic Surgery Tricuspid valve repair Annuloplasty Techniques Functional tricuspid regurgitation Systolic pulmonary artery pressure NYHA Functional Capacity |
| title | Tricuspid repair: short and long-term results of suture annuloplasty techniques and rigid and flexible ring annuloplasty techniques |
| title_full | Tricuspid repair: short and long-term results of suture annuloplasty techniques and rigid and flexible ring annuloplasty techniques |
| title_fullStr | Tricuspid repair: short and long-term results of suture annuloplasty techniques and rigid and flexible ring annuloplasty techniques |
| title_full_unstemmed | Tricuspid repair: short and long-term results of suture annuloplasty techniques and rigid and flexible ring annuloplasty techniques |
| title_short | Tricuspid repair: short and long-term results of suture annuloplasty techniques and rigid and flexible ring annuloplasty techniques |
| title_sort | tricuspid repair short and long term results of suture annuloplasty techniques and rigid and flexible ring annuloplasty techniques |
| topic | Tricuspid valve repair Annuloplasty Techniques Functional tricuspid regurgitation Systolic pulmonary artery pressure NYHA Functional Capacity |
| url | https://doi.org/10.1186/s13019-024-02640-y |
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