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Evaluation of Outcomes of Tricuspid Valve Flexible Ring Annuloplasty with Left Sided Heart Valve Surgery

Kinnaresh Baria Assistant Professor, Department of Cardio vascular and Thoracic Surgery, U.N. Mehta Institute of Cardiology and Research Center, (Affiliated to B. J. Medical College), New Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat 380016, India. , Kinnaresh Baria , Jignesh Kothari , Sanjay Patel , Yogini Kandre ,

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Journal of Cardiovascular Medicine and Surgery 4(4):p 261-269, Oct-Dec 2018. | DOI: http://dx.doi.org/10.21088/jcms.2454.7123.4418.1

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Abstract

Introduction: The results regarding durability of tricuspid valve (TV) repair by flexible ring annuloplasty are controversial and the available literature is inconclusive. Identification of natural history of tricuspid regurgitation (TR) after flexible ring annuloplasty is necessary to improve results of TV repair. The purpose of this study was to assess the fate of tricuspid regurgitation after tricuspid valve flexible ring repair with left sided heart valve surgery. Materials and Methods: This retrospective observational study consisted of 142 patients with TR who had echocardiography preoperatively, early postoperatively (7 days), and at regular interval of six months for two years after TV flexible ring annuloplasty. Detailed echocardiographic measurements were performed, including TR severity, TV annular dimension, TV leaflet displacement, left ventricular (LV) function, and right ventricular (RV) function and pressures. Results: Mid-term follow up of tricuspid valve repair with flexible ring is promising. In addition, increased RV pressure was related to worse TR during late follow-up. Conclusion: The Flexible annuloplasty ring proved easy to implant, effectively corrected TR, and without progression of significant TR in mid-term follow up. 

 

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DOI: http://dx.doi.org/10.21088/jcms.2454.7123.4418.1

Keywords

Tricuspid Valve; Tricuspid Regurgitation; Tricuspid Annular Plane Systolic Excursion. 

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