Tricuspid Valve Regurgitation, Valvular Heart Disease
Conditions
Keywords
Tricuspid Valve, Tricuspid Valve Regurgitation, Tricuspid Valve Annuloplasty
Brief summary
Functional tricuspid regurgitation (FTR) remains a common finding in patients with left-sided valvular heart diseases especially mitral valve regurgitation or stenosis. It is mainly caused by dilatation and flattening of the tricuspid valve (TV) annulus as a result of right ventricular (RV) enlargement and is inevitably affected by the RV function. Multiple studies support the better outcome of using rigid ring annuloplasty over suture repair for treating FTR in concern with the durability and freedom from residual regurgitation. These studies refer the superiority of rigid ring annloplasty to the three-dimensional configuration achieved by such rings which matches the normal tricuspid annulus and, at the same time, to the rigid support of the annulus. On the other hand, other studies support the use of flexible prosthetic bands like Dacron or polytetrafluroethilin (PTFE), especially over suture techniques, due to their easy applicability and availability with good postoperative results. Therefore, suture annyloplasty became nowadays less convenient for FTR repair since both flexible bands and rigid rings appeared to offer good midterm outcomes in recent meta-analysis studies. However, the ideal annuloplasty method for repairing FTR is still debatable between the three-dimensional (3D) rigid rings versus flexible prosthetic bands. In this retrospective comparative study, we share our experience with flexible fashioned bands in FTR.
Interventions
OTHERAnnuloplasty Using Flexible Band
Tricuspid valve annuloplasty using a flexible band; (Polyethylene terephthalate band): (Dacron band)
Sponsors
Assiut University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All patients presented at Assiut University Hospital with tricuspid valve regurgitation
Exclusion criteria
* Age less than 18 years old. * Tricuspid valve stenosis. * Organic tricuspid valve disease. * Infective endocarditis on tricuspid valve.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tricuspid valve regurgitation | 1 year post operative | Using Echocardiography to asset tricuspid valve regurgitation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tricuspid Annular Plane Systolic Excursion (TAPSE) | 1 year post operative | Using Echocardiography to asset Tricuspid Annular Plane Systolic Excursion (TAPSE) |
Countries
Egypt
Outcome results
None listed