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Tricuspid valve annuloplasty using a partial flexible ring: mid-term follow-up
Giuseppe Gatti1, Pasqua Pacilli, Peppino Pugliese
1Department of Cardiac Surgery, Villa Torri Hospital, Bologna, Italy. giusep.gatti@tiscali.it
Summary
Tricuspid valve annuloplasty (TVA) using the Cosgrove-Edwards ring effectively treats tricuspid insufficiency (TI), improving patient outcomes and functional class with good mid-term results.
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery
- Valvular Heart Disease
Background:
- Tricuspid valve annuloplasty (TVA) is increasingly used for tricuspid insufficiency (TI).
- This study focuses on the Cosgrove-Edwards partial flexible ring for TVA.
- Evaluating outcomes for functional and organic TI is crucial.
Purpose of the Study:
- To assess the immediate and mid-term outcomes of TVA using the Cosgrove-Edwards partial flexible ring.
- To evaluate clinical and echocardiographic results after tricuspid valve repair.
- To determine the efficacy in patients with functional and organic TI.
Main Methods:
- 35 adult patients with TI > 2+ underwent TVA with the Cosgrove-Edwards ring (June 1998-March 2002).
- Eighty-six percent of patients had functional TI secondary to right ventricular issues.
- Mean follow-up was 28.3 months, with 34.4% of functional TI patients having pulmonary hypertension.
Main Results:
- In-hospital mortality was 8.6%; 3-year actuarial survival was 96.5%.
- Tricuspid insufficiency was well-controlled (≤1+) in 96.8% of survivors.
- Significant improvement in NYHA functional class (p = 0.035).
Conclusions:
- TVA with the Cosgrove-Edwards ring is a viable surgical option for tricuspid insufficiency.
- The procedure demonstrates efficacy in both functional and organic TI.
- Results are favorable even in patients with pulmonary hypertension at mid-term follow-up.