A single-size band, 50 mm long, for tricuspid annuloplasty

A technique for tricuspid annuloplasty is presented, using a flexible 50 mm long band, where the annular circumference is reduced to a fixed value of 78.5 mm (circumference of #25 mm sizer). From June to February 2007, 15 consecutive patients with tricuspid regurgitation (TR) underwent tricuspid rep...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2008-09, Vol.34 (3), p.677-679
Main Authors: Calafiore, Antonio Maria, Iacò, Angela Lorena, Contini, Marco, Di Mauro, Michele
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cardiology. Vascular system
Endocardial and cardiac valvular diseases
Follow-Up Studies
Heart
Humans
Medical sciences
Pneumology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Suture Techniques - instrumentation
Tricuspid regurgitation
Tricuspid valve
Tricuspid Valve - diagnostic imaging
Tricuspid Valve - pathology
Tricuspid Valve - surgery
Tricuspid valve annuloplasty
Tricuspid Valve Insufficiency - diagnostic imaging
Tricuspid Valve Insufficiency - surgery
Ultrasonography
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Summary:A technique for tricuspid annuloplasty is presented, using a flexible 50 mm long band, where the annular circumference is reduced to a fixed value of 78.5 mm (circumference of #25 mm sizer). From June to February 2007, 15 consecutive patients with tricuspid regurgitation (TR) underwent tricuspid repair using this technique. The first suture is passed at the level of the anteroseptal commissure, the last one in the zone of the septal annulus, 28.5 mm from the first one. The remaining sutures are passed as usual. All the sutures are then adapted to a 50 mm long band. After a mean of 5.4 months from surgery, all patients are alive and asymptomatic. One patient showed residual 2/4 TR, due to enlarged RV with high pulmonary pressure despite a well functioning mitral prosthesis. Mean gradient across the tricuspid valve was 2.5 ± 0.4 mmHg. This technique for tricuspid repair is simple and reliable, providing effective and reproducible results.
ISSN:1010-7940
1873-734X
DOI:10.1016/j.ejcts.2008.05.057