Key result
Pericardial band annuloplasty significantly increased the proportion of patients with early post-operative tricuspid regurgitation grade 0 or I compared to De Vega repair (82.1% vs 43.6%, p=0.002).
Why the study?
Dilated annulus tricuspid regurgitation is a frequent pathology often accompanied by functional right ventricular impairment, prompting a comparison between De Vega repair and band annuloplasty in severe functional tricuspid regurgitation.
Does Pericardial Band Annuloplasty improve tricuspid regurgitation grade and NYHA class compared to De Vega repair in patients with functional tricuspid regurgitation?
Cohort (n=80)
No
Does Pericardial Band Annuloplasty improve tricuspid regurgitation grade and NYHA class compared to De Vega repair in patients with functional tricuspid regurgitation?
Absolute Event Rate: 82.1% vs 43.6%
p-value: p=0.002
Band annuloplasty provides better early echocardiographic and clinical outcomes compared to De Vega suture annuloplasty for functional tricuspid regurgitation.
Band annuloplasty was associated with better early TR control; leaves open whether it improves outcomes or warrants practice change.
Dilated annulus tricuspid regurgitation is a frequent pathology mostly with functional right ventricularimpairment. Our study was to compare result of De Vaga (DV) repair Versus Band Annuloplasty (BA) inpatients with severe functional Tricuspid valve regurge. A total of 80 patients underwent TV repair at Beni-Suefuniversity Hospital with 40 DV and 40 had BA; accompanying interventions done for mitral valve or doublevalve replacement. Clinical and echocardiographic follow-up data were obtained. Follow-up after 6months wasdone completely. A higher proportion of grade 0 and I of tricuspid regurge post-operatively in BA group and ahigher proportion of TR grade II among DV group. After 6-12 months follow-up, The NYHA higher grades (I, II,III) were significantly more prevalent in the DV. There was no statistical difference between the BA group and theDV group regarding the proportion of morbidity and mortality. The 2 interventions are considerable in tricuspidvalve repair although good evidence in support of BA compared with DV suture repair for treatment of moderateto severe TV regurgitation; longer follow up durations is recommended for better post-operative evaluation tomorbidities and mortalities.
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mashtoly et al. (2022) conducted a cohort in Functional Tricuspid Valve Regurgitation (n=80). Pericardial Band Annuloplasty vs. De Vega repair was evaluated on Early post-operative tricuspid regurgitation grade 0 or I (p=0.002). Pericardial band annuloplasty significantly increased the proportion of patients with early post-operative tricuspid regurgitation grade 0 or I compared to De Vega repair (82.1% vs 43.6%, p=0.002).
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