Abstract： Objective To evaluate clinical outcomes of tricuspid annuloplasty using a C-type ring made of autologous pericardium for the treatment of functional tricuspid regurgitation （TR）. Methods Eleven patients underwent tricuspid annuloplasty in Guizhou Provincial People’s Hospital between March 2009 and January 2011， including 5 male patients and 6 female patients with their age of 32-57 （43.80±12.20） years. There were 3 patients with mild TR， 7 patients with moderate TR， and 1 patient with severe TR. Concomitant procedures included mitral valve replacement and/or aortic valve replacement and/or left atrial thrombectomy. The C-type ring was created using a strip of pericardium after 0.8% glutaraldehyde fixation for 15 minutes. Interrupted horizontal mattress suture was used to secure the C-type ring to the tricuspid annulus. Hear function and echocardiography were examined during follow-up. Results There was no in-hospital death， and the hospital stay was 15-28 （21.10±3.80） days. All the patients were followed up for 8-28 （18.50±7.00）months. There was no death or reoperation because of TR or tricuspid stenosis during follow-up. Ten patients had TR during follow-up， including 9 patients with mild TR and 1 patient with mild to moderate TR， but there was no patient with severe TR. The degree of TR during follow-up was significantly reduced than preoperative degree （Z =-2.81，P＜0.05）. Preoperative and postoperative right ventricular dimension （19.95±5.11 mm vs. 21.57±12.81 mm，P=0.705） and right atrial dimension（37.55±6.79 mm vs. 35.55±5.22 mm，P=0.317）were not statistically different. Conclusion Tricuspid annuloplasty using a C-type ring made of autologous pericardium has satisfactory clinical outcomes for patients with functional TR.
Citation：
LI Yetao,LIU Jun,YAN Xingzhi.. Clinical Outcomes of Tricuspid Annuloplasty Using a C-type Ring Made of Autologous Pericardium. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2012, 19(6): 642-644. doi:
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De La Zerda DJ， Cohen O， Marelli D， et al. Tricuspid valve repair using autologous pericardium annuloplasty in adults. Heart Surg Forum， 2008， 11 （1）：E4-E8.
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张文龙， 郭兰敏， 朱梅， 等. 自体心包三尖瓣环成形术治疗功能性三尖瓣反流临床观察.山东医药， 2006， 46 （12）：49-50.
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王建华. 改良式三尖瓣环缩术治疗功能性三尖瓣关闭不全. 山东医药， 2007， 47 （18）：45-46.
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何学志， 刘继红， 庄熙晶， 等.自体心包夹涤纶条在三尖瓣关闭不全成形术中的应用.中华循环杂志， 2008， 23 （6）：456-458.
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廖成全， 姜月平， 黄淼龙， 等. 自体心包与人工瓣环三尖瓣成形术治疗功能性三尖瓣反流的比较. 临床医学工程， 2010， 17 （8）：75-76.
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- 1. Anyanwu AC， Chikwe J， Adams DH. Tricuspid valve repair for treatment and prevention of secondary tricuspid regurgitation in patients undergoing mitral valve surgery. Curr Cardiol Rep，2008， 10 （2）：110-117.
- 2. Raja SG， Dreyfus GD. Surgery for functional tricuspid regurgitation： current techniques， outcomes and emerging concepts. Expert Rev Cardiovasc Ther， 2009， 7 （1）：73-84.
- 3. Bianchi G， Solinas M， Bevilacqua S， et al. Which patient undergoing mitral valve surgery should also have the tricuspid repair ? Interact Cardiovasc Thorac Surg， 2009， 9 （6）：1009-1020.
- 4. Chikwe J， Anyanwu AC. Surgical strategies for functional tricuspid regurgitation. Semin Thorac Cardiovasc Surg， 2010， 22 （1）：90-96.
- 5. Rogers JH， Bolling SF. Valve repair for functional tricuspid valve regurgitation： anatomical and surgical considerations. Semin Thorac Cardiovasc Surg， 2010， 22 （1）：84-89.
- 6. Li ZX， Guo ZP， Liu XC， et al. Surgical treatment of tricuspid regurgitation after mitral valve surgery： a retrospective study in China. J Cardiothorac Surg， 2012， 7：30.
- 7. 陈绪发， 朱晓东， 陶凉， 等．自体心包条加固三尖瓣瓣环成形术．中华胸心血管外科杂志， 2003，19 （2）：120.
- 8. 许建屏， 葛翼鹏， 史艺， 等. 三尖瓣改良De Vega环缩术的成形效果. 中国胸心血管外科临床杂志， 2006， 13 （5）：298-301.
- 9. Chang BC， Song SW， Lee S， et al. Eight-year outcomes of tricuspid annuloplasty using autologous pericardial strip for functional tricuspid regurgitation. Ann Thorac Surg， 2008， 86 （5）：1485-1493.
- 10. De La Zerda DJ， Cohen O， Marelli D， et al. Tricuspid valve repair using autologous pericardium annuloplasty in adults. Heart Surg Forum， 2008， 11 （1）：E4-E8.
- 11. 张文龙， 郭兰敏， 朱梅， 等. 自体心包三尖瓣环成形术治疗功能性三尖瓣反流临床观察.山东医药， 2006， 46 （12）：49-50.
- 12. 王建华. 改良式三尖瓣环缩术治疗功能性三尖瓣关闭不全. 山东医药， 2007， 47 （18）：45-46.
- 13. 何学志， 刘继红， 庄熙晶， 等.自体心包夹涤纶条在三尖瓣关闭不全成形术中的应用.中华循环杂志， 2008， 23 （6）：456-458.
- 14. 廖成全， 姜月平， 黄淼龙， 等. 自体心包与人工瓣环三尖瓣成形术治疗功能性三尖瓣反流的比较. 临床医学工程， 2010， 17 （8）：75-76.
