Comparative study of tricuspid valve repair using ring vs. synthetic band in severe functional tricuspid valve regurgitation

Ashraf Elnahas; Yousry  Shaheen; Dina Afifi; Ahmed Emara

doi:10.35810/ects.v1i1.257

Ashraf Elnahas Department of Cardiothoracic Surgery, Faculty of Medicine, Banha University, Banha, Egypt
Yousry Shaheen Department of Cardiothoracic Surgery, Faculty of Medicine, Banha University, Banha, Egypt
Dina Afifi Department of Cardiothoracic Surgery, Faculty of Medicine, Banha University, Banha, Egypt
Ahmed Emara Department of Cardiothoracic Surgery, Faculty of Medicine, Banha University, Banha, Egypt

DOI: https://doi.org/10.35810/ects.v1i1.257

Keywords: Tricuspid regurgitation, Tricuspid repair, Band annuloplasty, Tricuspid ring

Abstract

Background: Functional tricuspid valve regurgitation secondary to left-sided valve disease remains a common problem. There are different surgical techniques for tricuspid valve repair; however, the superiority of one approach over the other has not been proven. Our objective was to compare the short-term results of ring versus synthetic band annuloplasty to repair functional severe tricuspid regurgitation in patients with left-sided valve lesions.

Methods: This retrospective study includes 60 patients who underwent left-sided valve replacement with concomitant tricuspid valve repair for severe tricuspid regurgitation. Patients were divided into group A (n= 30), patients with rigid rings, and group B (n= 30), patients with synthetic bands.

Results: The preoperative demographic and clinical data were non-significant between both groups. In the preoperative data, the tricuspid annular plane systolic excursion (TAPSE) was significantly higher in the ring group (2.84 ± 0.53 vs. 2.3 ± 0.4, P< 0.001). Hospital stay was more prolonged in group B (10.05 ± 1.57 vs. 11.7 ± 2.76 days, P=0.006). There were no differences in other operative and postoperative data between groups. After a six-month follow-up, both groups had no significant difference regarding the clinical data or the degree of tricuspid valve regurgitation.

Conclusion: Tricuspid valve annuloplasty with a rigid ring or synthetic band for tricuspid regurgitation could have a good short-term outcome.