Autologous Pericardial Band for Tricuspid Valve Annuloplasty: Midterm Results

  • Khaled Mohamed Abdelaal Department of Cardiothoracic Surgery, Faculty of Medicine, Sohag University, Sohag, Egypt
  • Mohamed Abdel-Bary Department of Cardiothoracic Surgery, Faculty of Medicine, South Valley University, Qena, Egypt
  • Sharaf ED Mahmoud Department of Internal Medicine, Faculty of Medicine, Sohag University, Sohag, Egypt
  • Mohamed Eid Department of Internal Medicine, Faculty of Medicine, Sohag University, Sohag, Egypt
  • Abdelhady Ahmad Helmy Department of Anesthesia and Intensive Care, Faculty of Medicine, Sohag University, Sohag, Egypt
  • Ayman Mohammad Abdelghaffar Department of Cardiothoracic Surgery, Faculty of Medicine, Sohag University, Sohag, Egypt
Keywords: Tricuspid regurgitation, Tricuspid annuloplasty, Autologous pericardial band, Suture annuloplasty

Abstract

Background: Even though tricuspid regurgitation (TR) is a frequent cardiac valve disorder, and tricuspid valve annuloplasty (TVA) has been evolved to manage TR for more than 50 years, there is still a substantial controversy regarding the best durable method for TVA. We reported our midterm (3 years) outcomes of TVA using autologous pericardial (AP) band comparing it with DeVega annuloplasty for the management of functional TR.

Methods: Between January 2017 and November 2018, about 175 cases with moderate or more TR underwent TVA as a part of primary left-sided valve replacement surgery. Autologous pericardial (AP) TVA was performed in 100 patients, and DeVega TVA in 75 patients.

Results: Both groups are comparable as regards preoperative characteristics. Immediate postoperatively, regarding NYHA class, degree of TR, ejection fraction, and pulmonary artery systolic pressure, there was a marked improvement within the 2 groups compared to the preoperative values, without a significant difference between both groups. 94% of patients completed the follow-up period. In hospital death was 2% in the AP group, and 1% in the DeVega group. The AP group showed a marked improvement in the mean degree of TR at the same follow-up period compared to the DeVega group, 12% patients of the AP group and 21% patients of the De Vega group had 3+ or 4+ TR at 3 years postoperative follow up. There was a marked improvement in the Diastolic tricuspid annuloplasty diameter in the AP group compared to the DeVega group. There were 6.3% late deaths in our study.

Conclusion:  TVA with an AP was more durable than the DeVega in avoiding postoperative TR progression on the midterm results.

Published
2022-03-01
How to Cite
Mohamed Abdelaal, K., Abdel-Bary, M., ED Mahmoud, S., Eid, M., Ahmad Helmy, A., & Mohammad Abdelghaffar, A. (2022). Autologous Pericardial Band for Tricuspid Valve Annuloplasty: Midterm Results. The Egyptian Cardiothoracic Surgeon, 4(2), 24 - 30. Retrieved from https://journals.escts.net/ects/article/view/214
Section
Adult cardiac