Long-Term Outcomes of Tricuspid Annuloplasty for Functional Tricuspid Regurgitation Associated with Degenerative Mitral Regurgitation: Suture Annuloplasty Versus Ring Annuloplasty Using a Flexible Band

Additional tricuspid annuloplasty in mitral valve surgery results in better clinical outcome

“…If we aim to reduce TR or prevent the development of TR, TA should be considered at the time of MVS. The durability of TA in the setting of mitral valve disease has been shown in other published series 25. Our data show successful reduction of MR severity and NYHA functional class in all surgically treated patients.…”

“…Although TA successfully reduces TR, the net clinical benefit of performing simultaneous tricuspid valve surgery is unclear 25. In patients with functional MR, mainly due to ischaemic cardiomyopathy, 5-year mortality was lower in patients undergoing TA at the time of mitral valve repair 13.…”

Leaving Moderate Tricuspid Valve Regurgitation Alone at the Time of Pulmonary Valve Replacement: A Worthwhile Approach

“…On the basis of this conclusion, we adopted a conservative approach to the tricuspid valve during pulmonary valve replacement. Since that time, there seems to be recent emphasis on a more aggressive approach to the tricuspid valve, not only in congenital heart disease but also in acquired left-sided heart disease [4][5][6][7][8]. We thought it would be prudent to reconsider our position and reevaluate these same patients through midterm follow-up.…”

“…Second, the valve loses its natural morphology after concomitant annuloplasty and may be at increased risk for recurrent tricuspid regurgitation [5]. Distortion of the natural annular shape or fibrosis of the annulus and leaflets after annuloplasty may play a role.…”

Surgical Treatment for Tricuspid Valve Infective Endocarditis

“…showed that the ring annuloplasty is superior to suture annuloplasty in terms of recurrent tricuspid regurgitation or reoperation [21][22][23][24].…”