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Clinical efficacy of two different tricuspid annuloplasty techniques in left cardiac valve surgery

Asian Pacific Journal of Tropical Medicine 2018年第2期11卷 166-170页

作者： Zhen-Wei Ge Zhao-Yun Cheng Bao-Cai Wang Jun-Long Hu Jian-Chao Li Zi-Niu Zhao Gang Qiao Xiao-Qiang Quan Guo-Bao Zhang Department of Cardiovascular Surgery Henan Provincial People's Hospital

Objective: To investigate the mid-and long-term clinical effects of tricuspid valvuloplasty with the implantation of an artificial plastic ***: Data of 677 patients who had functional tricuspid regurgitation and left cardiac valve disease and underwent tricuspid valvuloplasty and left cardiac valve surgery were *** these patients, 353 underwent simple suture annuloplasty(group A) while the rest 324 patients underwent artificial plastic ring annuloplasty(group B).The two-year and more-than-two-year clinical and ultrasonocardiograph(UCG) follow-up data of the two groups were obtained and ***: A total of 600 patients(88.6%) completed the long-term follow-up(more than two years).The two-year follow-up showed no significant difference in the incidence of mild tricuspid regurgitation between the two groups(82.2% vs.92.7%, P=0.37).However, there were significantly more cases that developed into moderate to severe tricuspid regurgitation in group A than in group B(17.8% vs.7.3%, P=0.031).The long-term follow-up revealed that the recurrence rate of tricuspid regurgitation in group B was significantly lower than that in group A(11.0% vs.25.0%, P=0.029), and the ratio of cases developing into moderate to severe tricuspid regurgitation in group A was significantly higher than that in group B(28.9% vs.9.9%, P=0.007).The comparison between the two intra-group time segments showed that the development of tricuspid regurgitation in group A was significantly increased(28.9% vs.17.8%, P=0.022), but in group B it was relatively stable(9.9% vs.7.3%, P=0.52).Conclusions: artificial ring annuloplasty is associated with significantly less tricuspid regurgitation than simple suture annuloplasty.

关键词： Functional tricuspid regurgitation Tricuspid valvuloplasty artificial plastic ring

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