Clinical Outcomes of Tricuspid Annuloplasty Using a C-type Ring Made of Autologous Pericardium_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LI Yetao , LIU Jun , YAN Xingzhi.

Department of Cardiovascular Surgery， Guizhou Provincial People’s Hospital， Guiyang 550002，P. R. China;

Corresponding?author：

Keywords：

C-type ring; 　Autologous pericardium; 　Tricuspid regurgitation; 　Tricuspid annuloplasty

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Abstract：　Objective　To evaluate clinical outcomes of tricuspid annuloplasty using a C-type ring made of autologous pericardium for the treatment of functional tricuspid regurgitation （TR）.?Methods?Eleven patients underwent tricuspid annuloplasty in Guizhou Provincial People’s Hospital between March 2009 and January 2011， including 5 male patients and 6 female patients with their age of 32-57 （43.80±12.20） years. There were 3 patients with mild TR， 7 patients with moderate TR， and 1 patient with severe TR. Concomitant procedures included mitral valve replacement and/or aortic valve replacement and/or left atrial thrombectomy. The C-type ring was created using a strip of pericardium after 0.8% glutaraldehyde fixation for 15 minutes. Interrupted horizontal mattress suture was used to secure the C-type ring to the tricuspid　annulus. Hear function and echocardiography were examined during follow-up.　Results　There was no in-hospital death， and the hospital stay was 15-28 （21.10±3.80） days. All the patients were followed up for 8-28 （18.50±7.00）months. There was no death or reoperation because of TR or tricuspid stenosis during follow-up. Ten patients had TR　during follow-up， including 9 patients with mild TR and 1 patient with mild to moderate TR， but there was no patient with severe TR. The degree of TR during follow-up was significantly reduced than preoperative degree （Z?=-2.81，P＜0.05）. Preoperative and postoperative right ventricular dimension （19.95±5.11 mm vs. 21.57±12.81 mm，P=0.705） and right atrial dimension（37.55±6.79 mm vs. 35.55±5.22 mm，P=0.317）were not statistically different.　Conclusion　Tricuspid　annuloplasty using a C-type ring made of autologous pericardium has satisfactory clinical outcomes for patients with　functional TR.

Citation： LI Yetao,LIU Jun,YAN Xingzhi.. Clinical Outcomes of Tricuspid Annuloplasty Using a C-type Ring Made of Autologous Pericardium. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2012, 19(6): 642-644. doi: Copy

1.	Anyanwu AC， Chikwe J， Adams DH. Tricuspid valve repair for treatment and prevention of secondary tricuspid regurgitation in　patients undergoing mitral valve surgery. Curr Cardiol Rep，2008， 10 （2）：110-117.
2.	Raja SG， Dreyfus GD. Surgery for functional tricuspid regurgitation： current techniques， outcomes and emerging concepts. Expert Rev Cardiovasc Ther， 2009， 7 （1）：73-84.
3.	Bianchi G， Solinas M， Bevilacqua S， et al. Which patient undergoing　mitral valve surgery should also have the tricuspid repair?? Interact Cardiovasc Thorac Surg， 2009， 9 （6）：1009-1020.
4.	Chikwe J， Anyanwu AC. Surgical strategies for functional tricuspid regurgitation. Semin Thorac Cardiovasc Surg， 2010， 22 （1）：90-96.
5.	Rogers JH， Bolling SF. Valve repair for functional tricuspid valve regurgitation： anatomical and surgical considerations. Semin Thorac Cardiovasc Surg， 2010， 22 （1）：84-89.
6.	Li ZX， Guo ZP， Liu XC， et al. Surgical treatment of tricuspid　regurgitation after mitral valve surgery： a retrospective study in China. J Cardiothorac Surg， 2012， 7：30.
7.	陳緒發，朱曉東，陶涼，等．自體心包條加固三尖瓣瓣環成形術．中華胸心血管外科雜志， 2003，19 （2）：120.
8.	許建屏，葛翼鵬，史藝，等. 三尖瓣改良De Vega環縮術的成形效果. 中國胸心血管外科臨床雜志， 2006， 13 （5）：298-301.
9.	Chang BC， Song SW， Lee S， et al. Eight-year outcomes of tricuspid　annuloplasty using autologous pericardial strip for functional tricuspid　regurgitation. Ann Thorac Surg， 2008， 86 （5）：1485-1493.
10.	De La Zerda DJ， Cohen O， Marelli D， et al. Tricuspid valve repair using autologous pericardium annuloplasty in adults. Heart Surg　Forum， 2008， 11 （1）：E4-E8.
11.	張文龍，郭蘭敏，朱梅，等. 自體心包三尖瓣環成形術治療功能性三尖瓣反流臨床觀察.山東醫藥， 2006， 46 （12）：49-50.
12.	王建華. 改良式三尖瓣環縮術治療功能性三尖瓣關閉不全. 山東醫藥， 2007， 47 （18）：45-46.
13.	何學志，劉繼紅，莊熙晶，等.自體心包夾滌綸條在三尖瓣關閉不全成形術中的應用.中華循環雜志， 2008， 23 （6）：456-458.
14.	廖成全，姜月平，黃淼龍，等. 自體心包與人工瓣環三尖瓣成形術治療功能性三尖瓣反流的比較. 臨床醫學工程， 2010， 17 （8）：75-76.

1. 　Anyanwu AC， Chikwe J， Adams DH. Tricuspid valve repair for treatment and prevention of secondary tricuspid regurgitation in　patients undergoing mitral valve surgery. Curr Cardiol Rep，2008， 10 （2）：110-117.
2. 　Raja SG， Dreyfus GD. Surgery for functional tricuspid regurgitation： current techniques， outcomes and emerging concepts. Expert Rev Cardiovasc Ther， 2009， 7 （1）：73-84.
3. 　Bianchi G， Solinas M， Bevilacqua S， et al. Which patient undergoing　mitral valve surgery should also have the tricuspid repair?? Interact Cardiovasc Thorac Surg， 2009， 9 （6）：1009-1020.
4. 　Chikwe J， Anyanwu AC. Surgical strategies for functional tricuspid regurgitation. Semin Thorac Cardiovasc Surg， 2010， 22 （1）：90-96.
5. 　Rogers JH， Bolling SF. Valve repair for functional tricuspid valve regurgitation： anatomical and surgical considerations. Semin Thorac Cardiovasc Surg， 2010， 22 （1）：84-89.
6. 　Li ZX， Guo ZP， Liu XC， et al. Surgical treatment of tricuspid　regurgitation after mitral valve surgery： a retrospective study in China. J Cardiothorac Surg， 2012， 7：30.
7. 　陳緒發，朱曉東，陶涼，等．自體心包條加固三尖瓣瓣環成形術．中華胸心血管外科雜志， 2003，19 （2）：120.
8. 　許建屏，葛翼鵬，史藝，等. 三尖瓣改良De Vega環縮術的成形效果. 中國胸心血管外科臨床雜志， 2006， 13 （5）：298-301.
9. 　Chang BC， Song SW， Lee S， et al. Eight-year outcomes of tricuspid　annuloplasty using autologous pericardial strip for functional tricuspid　regurgitation. Ann Thorac Surg， 2008， 86 （5）：1485-1493.
10. 　De La Zerda DJ， Cohen O， Marelli D， et al. Tricuspid valve repair using autologous pericardium annuloplasty in adults. Heart Surg　Forum， 2008， 11 （1）：E4-E8.
11. 　張文龍，郭蘭敏，朱梅，等. 自體心包三尖瓣環成形術治療功能性三尖瓣反流臨床觀察.山東醫藥， 2006， 46 （12）：49-50.
12. 　王建華. 改良式三尖瓣環縮術治療功能性三尖瓣關閉不全. 山東醫藥， 2007， 47 （18）：45-46.
13. 　何學志，劉繼紅，莊熙晶，等.自體心包夾滌綸條在三尖瓣關閉不全成形術中的應用.中華循環雜志， 2008， 23 （6）：456-458.
14. 　廖成全，姜月平，黃淼龍，等. 自體心包與人工瓣環三尖瓣成形術治療功能性三尖瓣反流的比較. 臨床醫學工程， 2010， 17 （8）：75-76.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical Outcomes of Tricuspid Annuloplasty Using a C-type Ring Made of Autologous Pericardium

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