Tricuspid Valve Annuloplasty Alters Leaflet Mechanics

Mathur, Mrudang; Meador, William D.; Jaźwiec, Tomasz; Malinowski, Marcin; Timek, Tomasz A.; Rausch, Manuel K.

doi:10.1007/s10439-020-02586-x

Cited by 4 publications

(2 citation statements)

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“…Re-regurgitation of more than moderate class was observed in a higher number of patients in the mid- to long-term postoperative period [ 47 , 63 , 64 ]. Due to the special spatial structure of the tricuspid valve, De Vega annuloplasty has significant shortcomings in terms of the durability of the contouring of the tricuspid annulus [ 65 ].…”

Section: Types Of Surgery For Trmentioning

confidence: 99%

“…The introduction of tricuspid valve surgery has improved the prognosis and quality of life of a large number of patients with FTR, but an increasing number of shortcomings have been identified over time. Although De Vega annuloplasty is effective in reducing the orifice area to relieve TR, due to poor valve plasticity with respect to the orifice, a proportion of patients show TR recurrence after prolonged postoperative follow-up, with more severe regurgitation [ 47 , 65 , 67 ]. Approximately 12% of patients who undergo De Vega annuloplasty require reoperation, which is significantly higher than the 2% reoperation rate for ring annuloplasty [ 96 ].…”

Section: Current Problems In Surgical Treatmentmentioning

confidence: 99%

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Surgical Treatment Strategy of Functional Tricuspid Regurgitation

Wang,

Huang,

Sun

et al. 2024

Rev. Cardiovasc. Med.

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Functional tricuspid regurgitation (FTR) is a common type of tricuspid regurgitation (TR), particularly in cases of left heart valve disease. Historically, cardiac surgeons have not placed much emphasis on FTR and instead focused primarily on managing left heart valve disease. However, as research has progressed, it has become evident that severe TR significantly impacts the prognosis of heart valve surgery. Furthermore, significant improvements in postoperative cardiac function and quality of life have been observed when addressing the tricuspid valve alongside left heart disease management. This article aims to review current approaches for and timing of the surgical management of FTR while also analyzing the limitations of existing tricuspid surgical strategies.

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