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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| Format: | Article |
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MDPI AG
2021-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/21/5080 |
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| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-10T05:58:42Z |
| format | Article |
| id | doaj.art-556b47c4f08342e8a22a5bbf5cc049dc |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T05:58:42Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-556b47c4f08342e8a22a5bbf5cc049dc2023-11-22T21:07:07ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011021508010.3390/jcm10215080Results after Repair of Functional Tricuspid Regurgitation with a Three-Dimensional Annuloplasty RingElda Dzilic0Thomas Guenther1Amel Bouziani2Bernhard Voss3Stephanie Voss4Keti Vitanova5Markus Krane6Ruediger Lange7Department of Cardiovascular Surgery, German Heart Centre Munich, Technische Universität München, 80636 Munich, GermanyDepartment of Cardiovascular Surgery, German Heart Centre Munich, Technische Universität München, 80636 Munich, GermanyDepartment of Cardiovascular Surgery, German Heart Centre Munich, Technische Universität München, 80636 Munich, GermanyDepartment of Cardiovascular Surgery, German Heart Centre Munich, Technische Universität München, 80636 Munich, GermanyDepartment of Cardiovascular Surgery, German Heart Centre Munich, Technische Universität München, 80636 Munich, GermanyDepartment of Cardiovascular Surgery, German Heart Centre Munich, Technische Universität München, 80636 Munich, GermanyDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06520, USADepartment of Cardiovascular Surgery, German Heart Centre Munich, Technische Universität München, 80636 Munich, GermanyBackground: 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.https://www.mdpi.com/2077-0383/10/21/5080tricuspid valve repairannuloplasty ringfunctional tricuspid regurgitation |
| spellingShingle | 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 Journal of Clinical Medicine tricuspid valve repair annuloplasty ring functional tricuspid regurgitation |
| title | 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_short | 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 |
| topic | tricuspid valve repair annuloplasty ring functional tricuspid regurgitation |
| url | https://www.mdpi.com/2077-0383/10/21/5080 |
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