The Early Results of Tricuspid Valvuloplasty with Using the Edwards MC3 Annuloplasty System.
- Author:
Tak Hyuck OH
1
;
Joon Yong CHO
;
Jong Tae LEE
;
Gun Jik KIM
;
Dae Hyun KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kypook Natinonal University Hospital, Kyungpook National University College of Medicine, Korea. jycho@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Tricuspid valve;
Tricuspid valve, repair;
Tricuspid valve disease
- MeSH:
Atrioventricular Block;
Dilatation;
Echocardiography;
Female;
Hospital Mortality;
Humans;
Male;
Sternotomy;
Stroke Volume;
Thoracotomy;
Tricuspid Valve;
Tricuspid Valve Insufficiency
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2009;42(1):28-33
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Functional tricuspid regurgitation (TR) greater than or equal to a mild grade requires tricuspid valvuloplasty, and tricuspid valvuloplasty with ring annuloplasty has shown good outcomes. We report here on our early experience with the Edwards MC3 annuloplasty system (Edwards LifeSciences, Irvine, CA). MATERIAL AND METHOD: From November 2004 to July 2006, 72 patients with tricuspid annular dilatation and TR underwent tricuspid valvuloplasty with using the Edwards MC3 annuloplasty ring. Sixty-eight patients were operated on via median sternotomy and four patients were operated on using robotic assisted minimal invasive thoracotomy. The patient population included 21 males and 51 females and their mean age was 53.9+/-12.3. The mean grade of TR, as assessed by the preoperative echocardiography, was 2.2+/-1.0. The mean NYHA functional class was 3.1+/-0.8. The mean left ventricular ejection fraction was 57.0+/-9.9%. RESULT: The TR and NYHA functional class, as assessed by postoperative echocardiography, was significantly reduced (mean=0.4+/-0.6 and 2.0+/-0.7, respectively p<0.001). There was one case of hospital mortality. One patient required permanent pacemaker insertion for third degree atrioventricular block. CONCLUSION: Our study shows that the Edwards MC3 remodeling ring is easy to implant and it effectively corrects functional TR with excellent clinical and echocardiographic outcomes. Further follow-up and a larger clinical series are required to establish the long-term stability of this repair technique.
