Background: Functional tricuspid valve regurgitation secondary to left-sided valve
disease remains a common problem. There are different surgical techniques for
tricuspid valve repair; however, the superiority of one approach over the other has
not been proven. Our objective was to compare the short-term results of ring versus
synthetic band annuloplasty to repair functional severe tricuspid regurgitation in
patients with left-sided valve lesions.
Methods: This retrospective study includes 60 patients who underwent left-sided
valve replacement with concomitant tricuspid valve repair for severe tricuspid
regurgitation. Patients were divided into group A (n= 30), patients with rigid rings,
and group B (n= 30), patients with synthetic bands.
Results: The preoperative demographic and clinical data were non-significant
between both groups. In the preoperative data, the tricuspid annular plane systolic
excursion (TAPSE) was significantly higher in the ring group (2.84 ± 0.53 vs. 2.3 ± 0.4,
P< 0.001). Hospital stay was more prolonged in group B (10.05 ± 1.57 vs. 11.7 ± 2.76
days, P=0.006). There were no differences in other operative and postoperative data
between groups. After a six-month follow-up, both groups had no significant
difference regarding the clinical data or the degree of tricuspid valve regurgitation.
Conclusion: Tricuspid valve annuloplasty with a rigid ring or synthetic band for
tricuspid regurgitation could have a good short-term outcome.