Short Term Outcomes Of Tricuspid Valve Annuloplasty Using A Flexible Band

Study Overview
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Brief Summary
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Functional tricuspid regurgitation (FTR) remains a common finding in patients with left-sided valvular heart diseases especially mitral valve regurgitation or stenosis. It is mainly caused by dilatation and flattening of the tricuspid valve (TV) annulus as a result of right ventricular (RV) enlargement and is inevitably affected by the RV function. Multiple studies support the better outcome of using rigid ring annuloplasty over suture repair for treating FTR in concern with the durability and freedom from residual regurgitation. These studies refer the superiority of rigid ring annloplasty to the three-dimensional configuration achieved by such rings which matches the normal tricuspid annulus and, at the same time, to the rigid support of the annulus. On the other hand, other studies support the use of flexible prosthetic bands like Dacron or polytetrafluroethilin (PTFE), especially over suture techniques, due to their easy applicability and availability with good postoperative results. Therefore, suture annyloplasty became nowadays less convenient for FTR repair since both flexible bands and rigid rings appeared to offer good midterm outcomes in recent meta-analysis studies. However, the ideal annuloplasty method for repairing FTR is still debatable between the three-dimensional (3D) rigid rings versus flexible prosthetic bands. In this retrospective comparative study, we share our experience with flexible fashioned bands in FTR.

Official Title
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Short Term Outcomes Of Tricuspid Valve Annuloplasty Using A Flexible Band

Conditions
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Valvular Heart Disease, Tricuspid Valve Regurgitation

Intervention / Treatment
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* Other: Annuloplasty Using Flexible Band


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients presented at Assiut University Hospital with tricuspid valve regurgitation Exclusion Criteria: Age less than 18 years old. Tricuspid valve stenosis. Organic tricuspid valve disease. Infective endocarditis on tricuspid valve.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Patients with tricuspid valve regurgitation undergoing open heart surgery<br>Patients undergoing open heart surgery (for any reason) with concomitant tricuspid valve regurgitation | Other: Annuloplasty Using Flexible Band<br>* Tricuspid valve annuloplasty using a flexible band; (Polyethylene terephthalate band): (Dacron band)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tricuspid valve regurgitation | Using Echocardiography to asset tricuspid valve regurgitation | 1 year post operative | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tricuspid Annular Plane Systolic Excursion (TAPSE) | Using Echocardiography to asset Tricuspid Annular Plane Systolic Excursion (TAPSE) | 1 year post operative | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Tricuspid Valve, Tricuspid Valve Regurgitation, Tricuspid Valve Annuloplasty