Midterm results of pericardial strip annuloplasty for repair of functional tricuspid regurgitation

Abstract

Objectives: We investigated our midterm results of repair of functional tricuspid regurgitation using autologous pericardial strip. Patients and methods: From January 2008 to December 2013, 50 patients (male: female 34: 16, with a mean age 34±14 years) with moderate or severe tricuspid regurgitation were enrolled in our study. All had associated left sided valvular lesions (mitral in 33 patients, aortic in 2 and double valves in 15) that were managed by mechanical valve replacement. Tricuspid regurgitation was corrected by pericardial strip annuloplasty. The mean follow up period was 3 years. Results: The overall survival rate was 98%. Manifestation of right heart failure improved in 14 of 16 patients (87.5%). Forty seven patients (94%) stayed in NYHA class I postoperatively. Freedom from recurrent moderated TR was 94% and 92% at one year and three years respectively. Conclusion: Pericardial annuloplasty for