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Ring or suture annuloplasty for tricuspid regurgitation? A meta-analysis review.

Abstract
We performed a meta-analysis of early and long-term outcomes after tricuspid repair to compare the results of suture-based and prosthetic ring annuloplasty with the employment of an algorithm that derives the original patient time-to-event data. There was an advantage in early but not in long-term survival with the use of the annuloplasty ring. The freedom from moderate tricuspid regurgitation was significantly better in patients with ring annuloplasty (78.9% ± 5.0% at 15 years vs 60.0% ± 4.2%, log-rank p = 0.0107). The ring annuloplasty is associated to better outcomes, being a protective factor for early mortality and long-term recurrence of tricuspid regurgitation after surgery.
AuthorsAlessandro Parolari, Fabio Barili, Alberto Pilozzi, Davide Pacini
JournalThe Annals of thoracic surgery (Ann Thorac Surg) Vol. 98 Issue 6 Pg. 2255-63 (Dec 2014) ISSN: 1552-6259 [Electronic] Netherlands
PMID25443026 (Publication Type: Journal Article, Meta-Analysis, Review)
CopyrightCopyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Topics
  • Cardiac Valve Annuloplasty (methods)
  • Heart Valve Prosthesis
  • Humans
  • Suture Techniques (instrumentation)
  • Sutures
  • Tricuspid Valve (surgery)
  • Tricuspid Valve Insufficiency (surgery)

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