Increased risk of dehiscence after tricuspid valve repair with rigid annuloplasty rings

Pfannmüller, Bettina; Doenst, Torsten; Eberhardt, Katja; Seeburger, J.; Borger, Michael A.; Mohr, Friedrich W.

doi:10.1016/j.jtcvs.2011.06.019

Cited by 102 publications

(86 citation statements)

References 17 publications

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“…Navia et al (12) and Izutani et al (13) reported a lower rate of recurrent TR with a rigid annuloplasty ring compared with a flexible ring. On the contrast, Pfannmüller et al (14) reported a higher rate of annuloplasty dehiscence after the implantation of a rigid ring. In the present study, the purpose was to compare the efficacy and mid-term durability of tricuspid ring annuloplasty for FTR secondary to rheumatic mitral valve disease using Cosgrove-Edwards flexible band and the Edwards MC3 rigid ring (Edwards Lifesciences, LLC, Irvine, CA, USA).…”

Section: Original Articlementioning

confidence: 94%

“…Recently, valve annuloplasty is the preferred surgical treatment for FTR (17)(18)(19). However, to date there is no clear evidence of the superiority of one annuloplasty device over the other (14,19). To our knowledge, this is the first report explored and compared the efficacy and midterm outcomes of the tricuspid ring annuloplasty for FTR secondary to rheumatic mitral valve disease using flexible band and rigid ring.…”

Section: Mortality and Follow Upmentioning

confidence: 97%

“…Pfannmüller et al (14) investigated a large number of patients with either a flexible band and found that use of a rigid ring increases risk of subsequent ring dehiscence. In addition, Galiñanes et al (20) and Kay et al (21) reported four cases of extremely rare complication, i.e., fracture of the Carpentier rigid ring in the tricuspid position.…”

Section: Tr Is One Of the Most Commonly Encountered Valvularmentioning

confidence: 99%

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Comparison of outcomes of tricuspid annuloplasty with 3D-rigid versus flexible prosthetic ring for functional tricuspid regurgitation secondary to rheumatic mitral valve disease

Wang¹,

Liu

Wang

et al. 2016

J. Thorac. Dis.

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Background: Annuloplasty bands and rings are widely used for repairing functional tricuspid regurgitation (FTR). However, the question regarding which is the ideal annuloplasty device remains unclear. The aim of this study was to compare the efficacy and mid-term durability of tricuspid ring annuloplasty for FTR secondary to rheumatic mitral valve disease using flexible Cosgrove-Edwards band and the rigid Edwards Results: The grade of TR was significantly improved compared to preoperative values in two groups.There was no significant difference regarding postoperative TR grade between the two groups at 1 week and 2-3 months but there was statistical significant difference at postoperative 6-12 months, and 2-3 years.During the follow up period, 25 of 46 patients (54.3%) in flexible group and 22 of 60 patients (30.3%) in rigid group developed recurrent TR. Freedom from recurrent TR in flexible group is significant lower than rigid group in each postoperative follow up period.Conclusions: These findings suggest that 3D rigid ring annuloplasty might be more effective for tricuspid ring annuloplasty in FTR in mid-term postoperative periods when compared to flexible band.

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Section: Original Articlementioning

confidence: 94%

Section: Mortality and Follow Upmentioning

confidence: 97%

Section: Tr Is One Of the Most Commonly Encountered Valvularmentioning

confidence: 99%

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Comparison of outcomes of tricuspid annuloplasty with 3D-rigid versus flexible prosthetic ring for functional tricuspid regurgitation secondary to rheumatic mitral valve disease

Wang¹,

Liu

Wang

et al. 2016

J. Thorac. Dis.

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“…Tricuspid annuloplasty (TA) is currently recommended for the treatment of significant TR3, 4 and has been increasingly performed over the past decade 5. Although TA has shown a satisfactory outcome in the short term, postoperative residual significant TR and mortality remain high during long‐term follow‐up 6, 7. Accurate preoperative risk evaluation is essential to identify patients at high risk and improve clinical outcome.…”

Section: Introductionmentioning

confidence: 99%

Prognostic Value of Hepatorenal Function By Modified Model for End‐stage Liver Disease (MELD) Score in Patients Undergoing Tricuspid Annuloplasty

Chen

Liu

Seto

et al. 2018

JAHA

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BackgroundThe Model for End‐stage Liver Disease excluding international normalized ratio (MELD‐XI) score and the modified MELD score with albumin replacing international normalized ratio (MELD‐Albumin) score, which reflect both liver and renal function, have been reported as predictors of adverse events in liver and heart disease. Nonetheless, their prognostic value in patients undergoing tricuspid annuloplasty has not been addressed.Methods and ResultsA total of 394 patients who underwent tricuspid annuloplasty were evaluated. Baseline clinical, laboratory, and echocardiographic parameters were recorded. Adverse outcome was defined as the occurrence of heart failure requiring admission or all‐cause mortality. Patients who underwent tricuspid annuloplasty had a high prevalence of preoperative hepatorenal dysfunction that was more common in patients with severe tricuspid regurgitation than those with mild to moderate tricuspid regurgitation. The MELD‐XI and MELD‐Albumin scores were excellent predictors of 1‐year adverse outcome (area under the curve: 0.69 and 0.75, respectively). Kaplan–Meier survival curve demonstrated that a high score on MELD‐XI (≥12.0) and MELD‐Albumin (≥10.7) was associated with an increased risk of adverse events. During a median follow‐up of 40 months, both MELD‐XI and MELD‐Albumin scores were significantly associated with adverse outcome, even after adjusting for potential confounding factors. Significant improvement of hepatorenal function at 1 year postoperation was noted only in patients who had no adverse events, not in those who experienced an adverse outcome.ConclusionsBoth MELD‐XI score and MELD‐Albumin score can provide useful information to predict adverse outcome in patients undergoing tricuspid annuloplasty. The present study supports monitoring of modified MELD score to improve preoperative risk stratification of these patients.

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“…We have demonstrated in our experience that bands are more favorable compared to rigid rings in the tricuspid position (7). Annuloplasty sutures are placed in a routine fashion, avoiding any interference with the myocardial conduction system.…”

Section: Tv Repairmentioning

confidence: 82%

Minimally invasive, beating heart tricuspid valve surgery in a redo case

Misfeld¹,

Davierwala²,

Banusch³

et al. 2017

ASVIDE

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Increased risk of dehiscence after tricuspid valve repair with rigid annuloplasty rings

Abstract: Although both rigid and flexible systems provide acceptable early tricuspid valve repair results, use of a rigid ring increases risk of subsequent ring dehiscence.

Cited by 102 publications

References 17 publications

Comparison of outcomes of tricuspid annuloplasty with 3D-rigid versus flexible prosthetic ring for functional tricuspid regurgitation secondary to rheumatic mitral valve disease

Comparison of outcomes of tricuspid annuloplasty with 3D-rigid versus flexible prosthetic ring for functional tricuspid regurgitation secondary to rheumatic mitral valve disease

Prognostic Value of Hepatorenal Function By Modified Model for End‐stage Liver Disease (MELD) Score in Patients Undergoing Tricuspid Annuloplasty

Minimally invasive, beating heart tricuspid valve surgery in a redo case

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