PMID- 11016312 OWN - NLM STAT- MEDLINE DCOM- 20001017 LR - 20190628 IS - 0003-4975 (Print) IS - 0003-4975 (Linking) VI - 70 IP - 3 DP - 2000 Sep TI - Long-term follow-up after Carpentier-Edwards ring annuloplasty for tricuspid regurgitation. PG - 796-9 AB - BACKGROUND: Use of flexible rings for tricuspid ring annuloplasty is becoming popular. This study was undertaken to evaluate Carpentier-Edwards (C-E) rigid ring annuloplasty for tricuspid regurgitation (TR), secondary to mitral valve disease and clinical outcome on a long-term basis. METHODS: From December 1985 to March 1996, 45 patients with secondary TR underwent C-E ring annuloplasty. Thirty-nine patients (95.1%) were in New York Heart Association (NYHA) functional class III or IV. The mean follow-up was 96.7+/-48.5 months or 362.6 patient-years. RESULTS: There were three in-hospital and nine late deaths that were not related to tricuspid annuloplasty. Actuarial survival at 10 years was 68.3%. Echocardiographic studies showed that TR was well controlled within grade 2+ in all survivors. Residual pulmonary hypertension (PH) was recognized in 9 of 21 patients (42.9%) with preoperative PH, however, no TR was seen in 6 patients. A TR grade of 2+ was observed in 3 patients. Thirty of the total survivors (96.8%) were in NYHA class I and II, but 1 patient was in NYHA class III. The actuarial rate of freedom from tricuspid valve reoperation after 10 years was 97.5%. CONCLUSIONS: C-E ring annuloplasty is acceptable for repair of secondary TR and improvement in clinical status on a long-term basis. FAU - Onoda, K AU - Onoda K AD - Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, Tsu, Japan. k-onoda@clin.medic.mie-u.ac.jp FAU - Yasuda, F AU - Yasuda F FAU - Takao, M AU - Takao M FAU - Shimono, T AU - Shimono T FAU - Tanaka, K AU - Tanaka K FAU - Shimpo, H AU - Shimpo H FAU - Yada, I AU - Yada I LA - eng PT - Journal Article PL - Netherlands TA - Ann Thorac Surg JT - The Annals of thoracic surgery JID - 15030100R SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Cause of Death MH - Female MH - Follow-Up Studies MH - Heart Valve Diseases/complications MH - *Heart Valve Prosthesis Implantation/mortality MH - Humans MH - Male MH - Middle Aged MH - Mitral Valve MH - Treatment Outcome MH - Tricuspid Valve Insufficiency/*surgery EDAT- 2000/10/04 11:00 MHDA- 2000/10/21 11:01 CRDT- 2000/10/04 11:00 PHST- 2000/10/04 11:00 [pubmed] PHST- 2000/10/21 11:01 [medline] PHST- 2000/10/04 11:00 [entrez] AID - S0003-4975(00)01681-7 [pii] AID - 10.1016/s0003-4975(00)01681-7 [doi] PST - ppublish SO - Ann Thorac Surg. 2000 Sep;70(3):796-9. doi: 10.1016/s0003-4975(00)01681-7.