Document Detail


A three-dimensional ring annuloplasty for the treatment of tricuspid regurgitation.
MedLine Citation:
PMID:  16731167     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Significant functional tricuspid regurgitation should be corrected in patients undergoing surgery for left-sided valvular diseases. Several clinical studies have shown the superiority of the remodeling annuloplasty over other repair techniques. Herein we report our early experience with a new three-dimensional remodeling prosthetic ring (Edwards MC3 annuloplasty system [Edwards LifeSciences, Irvine, CA]). DESCRIPTION: From June 2002 to November 2004, 75 patients with functional tricuspid regurgitation (mean, 3.1 +/- 0.9) underwent tricuspid valve repair with this new prosthesis. Concomitant procedures were mitral valve repair (70%), replacement (26%), aortic valve replacement (10%), coronary artery bypass grafting (13%), and left atrial maze (34%). Median predicted EuroScore mortality was 21% (r = 3 to 62). EVALUATION: Operative mortality was 5.3% (n = 4). Pre-discharge echocardiography showed significant decrease in tricuspid regurgitation to 0.3 +/- 0.4 (p < 0.001). Forty-five patients had follow-up transthoracic echocardiography after a median of 16 months (range, 4 to 34) demonstrating a stable result (mean tricuspid regurgitation, 0.3 +/- 0.5). There were no cases of ring dehiscence, prosthetic ring endocarditis, or thromboembolic events. CONCLUSIONS: This new three-dimensional ring is easy to implant, corrects tricuspid regurgitation effectively, and provides good short-term clinical and echocardiographic results. Long-term evaluation, however, is necessary to determine the stability of tricuspid valve repair using the MC3 annuloplasty system.
Authors:
Farzan Filsoufi; Sacha P Salzberg; Marianne Coutu; David H Adams
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  81     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-05-29     Completed Date:  2007-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  2273-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiothoracic Surgery, Mount Sinai Hospital, New York, New York, USA. farzan.filsoufi@mountsinai.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Aortic Valve / surgery
Atrial Fibrillation / complications,  surgery
Cardiac Pacing, Artificial
Comorbidity
Coronary Artery Bypass
Equipment Design
Female
Follow-Up Studies
Heart Valve Prosthesis Implantation
Hospital Mortality
Humans
Male
Middle Aged
Mitral Valve / surgery
Multiple Organ Failure / mortality
Postoperative Complications / mortality
Prostheses and Implants*
Prosthesis Implantation / methods*,  mortality
Retrospective Studies
Severity of Illness Index
Treatment Outcome
Tricuspid Valve Insufficiency / complications,  surgery*,  ultrasonography
Comments/Corrections
Comment In:
Ann Thorac Surg. 2006 Jun;81(6):2277-8   [PMID:  16731168 ]

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