Clinical efficacy of two different tricuspid annuloplasty techniques in left cardiac valve surgery

Journal Title: Asian Pacific Journal of Tropical Medicine - Year 2018, Vol 11, Issue 2

Abstract

Objective: To investigate the mid- and long-term clinical effects of tricuspid valvuloplasty with the implantation of an artificial plastic ring. Methods: Data of 677 patients who had functional tricuspid regurgitation and left cardiac valve disease and underwent tricuspid valvuloplasty and left cardiac valve surgery were retrospectively. Among these patients, 353 underwent simple suture annuloplasty (group A) while the rest 324 patients underwent artificial plastic ring annuloplasty (group B). The two-year and more-than-two-year clinical and ultrasonocardiograph (UCG) follow-up data of the two groups were obtained and compared. Results: A total of 600 patients (88.6%) completed the long-term follow-up (more than two years). The two-year follow-up showed no significant difference in the incidence of mild tricuspid regurgitation between the two groups (82.2% vs. 92.7%, P=0.37). However, there were significantly more cases that developed into moderate to severe tricuspid regurgitation in group A than in group B (17.8% vs. 7.3%, P=0.031). The long-term follow-up revealed that the recurrence rate of tricuspid regurgitation in group B was significantly lower than that in group A (11.0% vs. 25.0%, P=0.029), and the ratio of cases developing into moderate to severe tricuspid regurgitation in group A was significantly higher than that in group B (28.9% vs. 9.9%, P=0.007). The comparison between the two intra-group time segments showed that the development of tricuspid regurgitation in group A was significantly increased (28.9% vs. 17.8%, P=0.022), but in group B it was relatively stable (9.9% vs. 7.3%, P=0.52). Conclusions: Artificial ring annuloplasty is associated with significantly less tricuspid regurgitation than simple suture annuloplasty.

Authors and Affiliations

Zhen-Wei Ge, Zhao-Yun Cheng

Keywords

Related Articles

The relationship between fractional anisotropy value and tumor microarchitecture in late-stage rat glioma

Objective: To explore the magnetic resonance diffusion tensor imaging (MR-DTI) features of in the late stage of Wistar rat C6 brain glioma, and the relationship between fractional anisotropy value and tumor microarchitec...

Alternate paradigms on Zika virus-related complications: An analytical review

The proportion of the reported cases of Zika virus (ZIKV) infection reached the status of a pandemic. Numerous studies are being conducted on the isolation of ZIKV strains from various epidemics, diagnosis of the infecti...

Effect of curcumin on expressions of NF-kBp65, TNF-a and IL-8 in placental tissue of premature birth of infected mice

Objective: To observe the effect of curcumin on expressions of nuclear transcription factor-kappa Bp65 (NF-kBp65), TNF-a and IL-8 in placental tissue of premature birth of infected mice induced by lipopolysaccharide (LPS...

Mayaro virus infection, the next epidemic wave after Zika? Evolutionary and structural analysis

Objective: To evaluate the evolution of the pathogen Mayaro virus, causing Mayaro fever (a mosquito-borne disease) and to perform selective pressure analysis and homology modelling. Methods: Nine different datasets were...

Neuroprotective effect of Spilanthes acmella Murr. on pesticide-induced neuronal cells death

Objective: To investigate protective effects of Spilanthes acmella (S. acmella) Murr. extracts against pesticide-induced neuronal cells death and to elucidate the underlying molecular mechanism in dopaminergic (SH-SY5Y)...

Download PDF file
  • EP ID EP268136
  • DOI 10.4103/1995-7645.225027
  • Views 113
  • Downloads 0

How To Cite

Zhen-Wei Ge, Zhao-Yun Cheng (2018). Clinical efficacy of two different tricuspid annuloplasty techniques in left cardiac valve surgery. Asian Pacific Journal of Tropical Medicine, 11(2), 166-170. https://www.europub.co.uk/articles/-A-268136