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Late outcome of tricuspid annuloplasty using a flexible band/ring for functional tricuspid regurgitation.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Fukunaga, Naoto Okada, Yukikatsu Konishi, Yasunobu Murashita, Takashi Koyama, Tadaaki
Description	Author Affiliation: Fukunaga N ( Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital.)
Abstract	BACKGROUND: We assessed late outcome after tricuspid annuloplasty (TAP) using a flexible band or ring for functional tricuspid regurgitation (FTR). METHODS AND RESULTS: We reviewed 220 consecutive patients (mean age, 65.4±11.4 years) who underwent TAP for FTR during mitral valve surgery between January 2000 and December 2010. Indications for TAP included the following: (1) TR grade greater than mild; (2) history of right heart failure; (3) atrial fibrillation; and (4) systolic pulmonary artery pressure (SPAP) ≥50 mmHg. The mean follow-up period was 4.4±2.6 years. Overall hospital mortality was 5.5% (12/220). The 5- and 10-year survival rates were 90.2±2.1% and 82.4±5.6%, respectively. Freedom from recurrent TR at 8 years was 78.0±6.6%. Twenty patients had a greater than mild TR grade at final follow-up. Elevated SPAP was a predictor of recurrent TR (hazard ratio, 1.091; P=0.0003), which was associated with advanced age, atrial fibrillation, rheumatic etiology and preoperative TR grade. There was a significant difference in freedom from valve-related events between residual TR greater than mild and less than moderate (log-rank test, P=0.0464). Factors affecting residual TR were preoperative TR grade (OR, 7.368; P=0.0267) and mitral valve replacement (OR, 4.369; P=0.0402). CONCLUSIONS: Late outcome of TAP in the present series was acceptable. Late outcome can be improved by performing TAP before deterioration of TR.
File Format	HTM / HTML
ISSN	13469843
e-ISSN	13474820
Journal	Circulation Journal
Issue Number	6
Volume Number	79
Language	English
Publisher	The Japanese Circulation Society
Publisher Date	2015-01-01
Publisher Place	Japan
Access Restriction	Open
Subject Keyword	Discipline Cardiology Cardiac Valve Annuloplasty Instrumentation Prostheses And Implants Tricuspid Valve Insufficiency Surgery Atrial Fibrillation Epidemiology Comorbidity Heart Valve Prosthesis Implantation Hospital Mortality Hypertension, Pulmonary Etiology Kaplan-meier Estimate Mitral Valve Insufficiency Pacemaker, Artificial Postoperative Complications Mortality Prognosis Recurrence Retrospective Studies Rheumatic Heart Disease Risk Factors Complications Ultrasonography Evaluation Studies
Content Type	Text
Resource Type	Article
Subject	Cardiology and Cardiovascular Medicine

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