Aleksic et al. Journal of Cardiothoracic Surgery 2015, 10(Suppl 1):A317
http://www.cardiothoracicsurgery.org/content/10/S1/A317
MEETING ABSTRACT
Open Access
Results of tricuspid valve reconstruction using a
semirigid ring or a flexible band
Ivan Aleksic*, Jörg Hoffmann, Michal Glanowski, Ina Schade, Sebastian P Sommer, Marcus Leistner, Armin Gorski,
Rainer G Leyh
From World Society of Cardiothoracic Surgeons 25th Anniversary Congress, Edinburgh
Edinburgh, UK. 19-22 September 2015
Background/Introduction
Current concepts for tricuspid valve surgery recommend
concomitant tricuspid valve reconstruction (TVR) utilizing annuloplasty devices over simple suture annuloplasty.
Table 1 Group/degree of TI TI grade I TI grade II p =
0.043 (Mann-Whitney-U)
Aims/Objectives
It is unclear if flexible bands offer the same long-term
results like rigid or semi-rigid rings. We aimed to evaluate possible outcome differences between the flexible
SJM Tailor Band (FB group) and the CarpentierEdwards rigid MC3-Ring (RR group).
patients undergoing mitral valve plus concomitant tricuspid valve reconstruction demonstrated more moderate
TR in the FB group (Table 1).
Method
We retrospectively evaluated 141 patients undergoing
tricuspid valve reconstruction (TVR) with the MC3-ring
or the Tailor Band or suture annuloplasty between
01/11 and 12/13. Demographic variables, intraoperative
parameters, pre- and postoperative echocardiographic
studies were analyzed. A total of 108 pts undergoing
TVR formed the RR group and 20 the FB group.
Patients treated with suture annuloplasty or other
devices were excluded.
Results
Age, gender, preop. Euroscore II and severity of tricuspid
regurgitation (TR) did not differ among groups. Intraoperative parameters (procedure time, cardiopulmonary
bypass and cross-clamp time) were also similar. Longterm mortality with a median follow-up of 1361d (range:
854-1900d) was similar, too. Postoperative echocardiographic follow-up revealed a trend for more severe TR
after reconstruction with the band than with the rigid
ring (p = .064, Mann-Whitney-U). Subgroup analysis of
RR group (N = 38)
25
13
FB group (N = 9)
2
7
Discussion/Conclusion
Tricuspid valve reconstruction with the rigid MC3 ring
yields a higher rate of just trace tricuspid regurgitation
than with a flexible band in patients undergoing concomitant mitral valve surgery. A trend towards more trace
tricuspid regurgitation was observed in the overall study
cohort. Longer follow-up or even more desirable a multicenter study is warranted to determine if usage of flexible
bands will lead to more reoperations or more overt rightsided heart failure than rigid rings.
Published: 16 December 2015
doi:10.1186/1749-8090-10-S1-A317
Cite this article as: Aleksic et al.: Results of tricuspid valve
reconstruction using a semirigid ring or a flexible band. Journal of
Cardiothoracic Surgery 2015 10(Suppl 1):A317.
Department of Thoracic and Cardiovascular Surgery, University Hospital
Würzburg, Würzburg, 97080, Germany
© 2015 Aleksic et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://
creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the
original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/
zero/1.0/) applies to the data made available in this article, unless otherwise stated.