BACKGROUND: In contrast to mitral valve repair, residual and recurrent regurgitation after tricuspid valve (TV) repair for functional @entity997 ( @entity19354 ) is common. We have systematically used undersized, rigid 3-dimensional annuloplasty rings to treat functional @entity19354 . METHODS: From March 2006 to October 2009, 101 consecutive @entity1 with moderate or greater functional @entity19354 underwent TV repair with an undersized rigid 3-dimensional annuloplasty ring. All @entity1 had a predischarge echocardiography evaluation in a core echocardiography laboratory. Follow-up echocardiography was available for 96% of surviving @entity1 . Mean follow-up was 17  9 months. RESULTS: Twenty-nine percent of @entity1 had undergone previous cardiac operations, 74% were in New York Heart Association functional class III or IV, and 48% had @entity955 . Mitral valve operations were performed in 93 @entity1 , aortic valve operations in 17, coronary artery bypass grafting in 21, and CryoMaze procedures in 40. Size 26 or 28 rigid tricuspid annuloplasty rings were used in 88% of @entity1 , and no ring larger than a 28 has been used since November 2008. The operative mortality rate was 6% (n=6). Freedom from significant @entity19354 ( @entity19354 ) at hospital discharge, as assessed by the clinical core laboratory, was 97%. Only 3% of @entity1 had @entity19354 greater than moderate during follow-up. No @entity1 required TV reoperation. New postoperative permanent pacemakers were inserted in 3 @entity1 . CONCLUSIONS: Tricuspid valve repair with an undersized (size 26 or 28) rigid 3-dimensional annuloplasty ring is the method of choice for reliable and durable treatment of functional @entity19354 .

Undersized tricuspid annuloplasty rings optimally treat functional XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity997 :: ('MESH:D014262', 'Disease') :: ['tricuspid regurgitation'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial fibrillation'] @entity19354 :: ('MESH:C565640', 'Disease') :: ['TR', 'TR>moderate']
@entity997 :: (MESH:D014262,Disease) :: ['tricuspid regurgitation']
