PMID- 38539222
OWN - NLM
STAT- MEDLINE
DCOM- 20240329
LR  - 20240330
IS  - 1749-8090 (Electronic)
IS  - 1749-8090 (Linking)
VI  - 19
IP  - 1
DP  - 2024 Mar 27
TI  - Tricuspid repair: short and long-term results of suture annuloplasty techniques 
      and rigid and flexible ring annuloplasty techniques.
PG  - 158
LID - 10.1186/s13019-024-02640-y [doi]
LID - 158
AB  - 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.
CI  - (c) 2024. The Author(s).
FAU - Turkmen, Ufuk
AU  - Turkmen U
AUID- ORCID: 0000-0002-4174-5629
AD  - Department of Cardiovascular Surgery, Hitit University Faculty of Medicine, 
      Corum, Turkey. druturkmen@gmail.com.
FAU - Bozkurt, Tezcan
AU  - Bozkurt T
AUID- ORCID: 0009-0002-7290-4642
AD  - Department of Cardiovascular Surgery, Manisa City Hospital, Manisa, Turkey.
FAU - Ozyalcin, Sertan
AU  - Ozyalcin S
AUID- ORCID: 0000-0003-3390-3655
AD  - Department of Cardiovascular Surgery, Ankara Etlik City Hospital, Ankara, Turkey.
FAU - Gunaydin, Ilknur
AU  - Gunaydin I
AUID- ORCID: 0000-0002-2352-1875
AD  - Department of Cardiovascular Surgery, Ankara Bilkent City Hospital, Ankara, 
      Turkey.
FAU - Kaplan, Sadi
AU  - Kaplan S
AD  - Department of Cardiovascular Surgery, Hacettepe University Faculty of Medicine, 
      Ankara, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20240327
PL  - England
TA  - J Cardiothorac Surg
JT  - Journal of cardiothoracic surgery
JID - 101265113
SB  - IM
MH  - Adult
MH  - Humans
MH  - *Tricuspid Valve Insufficiency/surgery/diagnosis
MH  - *Heart Valve Prosthesis Implantation/methods
MH  - Treatment Outcome
MH  - Tricuspid Valve/surgery
MH  - Mitral Valve/surgery
MH  - *Cardiac Valve Annuloplasty
MH  - Suture Techniques
PMC - PMC10967185
OTO - NOTNLM
OT  - Annuloplasty Techniques
OT  - Functional tricuspid regurgitation
OT  - NYHA Functional Capacity
OT  - Systolic pulmonary artery pressure
OT  - Tricuspid valve repair
COIS- The authors declare no competing interests.
EDAT- 2024/03/28 06:45
MHDA- 2024/03/29 06:45
PMCR- 2024/03/27
CRDT- 2024/03/28 00:52
PHST- 2023/08/30 00:00 [received]
PHST- 2024/03/11 00:00 [accepted]
PHST- 2024/03/29 06:45 [medline]
PHST- 2024/03/28 06:45 [pubmed]
PHST- 2024/03/28 00:52 [entrez]
PHST- 2024/03/27 00:00 [pmc-release]
AID - 10.1186/s13019-024-02640-y [pii]
AID - 2640 [pii]
AID - 10.1186/s13019-024-02640-y [doi]
PST - epublish
SO  - J Cardiothorac Surg. 2024 Mar 27;19(1):158. doi: 10.1186/s13019-024-02640-y.