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Ann Thorac Surg 2000;70:796-799
© 2000 The Society of Thoracic Surgeons

Original articles: cardiovascular

Long-term follow-up after carpentier-Edwards ring annuloplasty for tricuspid regurgitation

Koji Onoda, MD, PhDa, Fuyuhiko Yasuda, MD, PhDa, Motoshi Takao, MD, PhDa, Takatsugu Shimono, MD, PhDa, Kuniyoshi Tanaka, MD, PhDa, Hideto Shimpo, MD, PhDa, Isao Yada, MD, PhDa

a Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, Mie, Japan

Address reprint requests to Dr Onoda, Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan
e-mail: k-onoda{at}clin.medic.mie-u.ac.jp

Background. Use of flexible rings for tricuspid ring annuloplasty is becoming popular. This study was undertaken to evaluate Carpentier-Edwards (C-E) rigid ring annuloplasty for tricuspid regurgitation (TR), secondary to mitral valve disease and clinical outcome on a long-term basis.

Methods. From December 1985 to March 1996, 45 patients with secondary TR underwent C-E ring annuloplasty. Thirty-nine patients (95.1%) were in New York Heart Association (NYHA) functional class III or IV. The mean follow-up was 96.7 ± 48.5 months or 362.6 patient-years.

Results. There were three in-hospital and nine late deaths that were not related to tricuspid annuloplasty. Actuarial survival at 10 years was 68.3%. Echocardiographic studies showed that TR was well controlled within grade 2+ in all survivors. Residual pulmonary hypertension (PH) was recognized in 9 of 21 patients (42.9%) with preoperative PH, however, no TR was seen in 6 patients. A TR grade of 2+ was observed in 3 patients. Thirty of the total survivors (96.8%) were in NYHA class I and II, but 1 patient was in NYHA class III. The actuarial rate of freedom from tricuspid valve reoperation after 10 years was 97.5%.

Conclusions. C-E ring annuloplasty is acceptable for repair of secondary TR and improvement in clinical status on a long-term basis.




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