Tricuspid Valve Repair Using Autologous Pericardium Annuloplasty in Adults

Authors

  • David J. De La Zerda
  • Oved Cohen
  • Daniel Marelli
  • Fardad Esmailian
  • Diana Hekmat
  • Hillel Laks

DOI:

https://doi.org/10.1532/HSF98.20071124

Abstract

Uncorrected functional tricuspid regurgitation can lead to long-term morbidity and mortality. To evaluate our results using autologous pericardium annuloplasty to treat tricuspid regurgitation, we retrospectively reviewed 59 consecutive adult patients aged 19 years to 83 years (58.7 ± 15.5 years) who underwent tricuspid valve annuloplasty between 2000 and 2003. Concomitant procedures consisted of mitral valve surgery in 83% of patients, aortic valve surgery in 28%, coronary bypass in 31%, and atrial-septal defect correction in 28%. Annuloplasty was performed using a strip of pericardium treated in glutaraldehyde 0.6% for 10 min. Two rows of continuous horizontal mattress Gore-Tex sutures were used to secure the pericardium to the tricuspid annulus. Follow-up was performed in 100% of the patients, and the mean follow-up was 4.4 ± 1.2 years (range, 2.4 to 7 years). Postoperative death within 30 days occurred in 1 of 59 patients (1.6%). None of the patients required reoperation related to tricuspid regurgitation or stenosis. The actuarial survival rate was 98.4% at 7 years after operation. Echocardiography was performed in 58 of 58 surviving patients (100%). Up to 7 years postoperatively, tricuspid regurgitation was trace in 67.2% of patients, mild in 31%, and moderate in 1.8%; there was no occurrence of severe regurgitation on follow-up. Our results indicate that autologous pericardium tricuspid annuloplasty is a useful procedure in patients with moderate or severe tricuspid regurgitation. This procedure provides a durable, reproducible annuloplasty of the tricuspid valve.

References

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Published

2008-02-12

How to Cite

De La Zerda, D. J., Cohen, O., Marelli, D., Esmailian, F., Hekmat, D., & Laks, H. (2008). Tricuspid Valve Repair Using Autologous Pericardium Annuloplasty in Adults. The Heart Surgery Forum, 11(1), E4-E8. https://doi.org/10.1532/HSF98.20071124

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Section

Articles