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

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Original articles: cardiovascular

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

^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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