Key result
Autologous pericardial band tricuspid annuloplasty shows similar short-term TR improvement to traditional suture annuloplasty.
Why the study?
Surgical repair for significant functional tricuspid regurgitation enhances outcomes, but short-term outcomes comparing tricuspid annuloplasty using an autologous pericardial band versus traditional suture annuloplasty needed evaluation.
Does tricuspid annuloplasty using an autologous pericardial strip improve short-term outcomes compared to conventional suture annuloplasty in patients with moderate to severe functional TR and left-sided valvular lesions?
Observational (n=100)
Does tricuspid annuloplasty using an autologous pericardial strip improve short-term outcomes compared to conventional suture annuloplasty in patients with moderate to severe functional TR and left-sided valvular lesions?
Tricuspid annuloplasty using an autologous pericardial strip is an effective alternative to conventional suture annuloplasty for functional tricuspid regurgitation, yielding comparable short-term echocardiographic improvements.
May offer pericardial band as alternative for functional TR; leaves open durability and need for RCTs before practice change.
Background Tricuspid regurgitation (TR) is a common sequelae associated with left-sided heart valve diseases due to right ventricular and tricuspid annular dilatations. Surgical repair for significant TR has been demonstrated to enhance patient outcomes and lower mortality rates. Aim The primary endpoint is to evaluate the short-term outcomes of tricuspid annuloplasty employing a flexible band of autologous pericardium compared with the traditional suture annuloplasty procedures. Patients and methods A prospective study was conducted on 100 patients with moderate to severe functional TR and left-sided valvular lesions who comprised two study groups. Group (A) included 50 patients who got tricuspid valve repair utilizing a flexible band constructed of autologous pericardium. Whereas group (B) included 50 patients who had traditional suture annuloplasty. The repaired valve was evaluated intraoperatively. Postoperative follow-up was done for mean duration of 24 ms±12 ms by clinical examination and transthoracic echocardiography. Results Both tricuspid annuloplasty techniques resulted in good short-term outcomes, including improvements in TR status and reduction of right a-trial diameters. The use of a pericardial stripasa flexible band did not exhibit any degeneration or retraction over the duration of the study. Conclusion For the surgical repair of functional TR, tricuspid annuloplasty utilizing a pericardial band made of the autologous pericardium is an effective alternative. The surgical decision should be made based on the unique characteristics of the patient and variables related to long-term durability. To verify these findings, more research with bigger populations and longer follow-up times are required.
No takes yet. Share an insight, caveat, or question.
Helmy et al. (2023) conducted an observational in Moderate to severe functional tricuspid regurgitation and left-sided valvular lesions (n=100). Tricuspid annuloplasty using autologous pericardial strip vs. Traditional suture annuloplasty (De Vega and Kay methods) was evaluated on Short-term outcomes including improvements in TR status and reduction of right atrial diameters. Tricuspid annuloplasty using an autologous pericardial band yielded good short-term outcomes, improving TR status and reducing right atrial diameters similarly to traditional suture annuloplasty.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: