Tricuspid valve repair: durability and risk factors for failure

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Tricuspid valve repair: durability and risk factors for failure Patrick M McCarthy, MD, Sunil K Bhudia, MD, Jeevanantham Rajeswaran, MSc, Katherine J Hoercher, RN, Bruce W Lytle, MD, Delos M Cosgrove, MD, Eugene H Blackstone, MD The Journal of Thoracic and Cardiovascular Surgery Volume 127, Issue 3, Pages 674-685 (March 2004) DOI: 10.1016/j.jtcvs.2003.11.019

Figure 1 Tricuspid regurgitation (TR) grade change over time for each annuloplasty technique. Curves indicate predicted mean percent of patients in each regurgitation grade from longitudinal modeling. Symbols represent grouped data for TR grade. Open squares = 0; open circles = 1+; solid circles = 2+; triangles = 3+; diamonds = 4+. A, Cosgrove-Edwards flexible band. B, Peri-Guard annuloplasty. C, Carpentier-Edwards rigid ring. D, De Vega procedure. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 674-685DOI: (10.1016/j.jtcvs.2003.11.019)

Figure 2 Tricuspid regurgitation grades 3+ and 4+ postoperatively for each annuloplasty technique. Curves indicate predicted mean percent of patients with 3+ or 4+ tricuspid regurgitation for each annuloplasty technique. Symbols represent grouped data according to percent of observations of 3+ and 4+ tricuspid regurgitation for each annuloplasty technique. Open circles = Carpentier-Edwards; squares = Cosgrove-Edwards; triangles = De Vega; solid circles = Peri-Guard. TR, Tricuspid regurgitation; RR, Carpentier-Edwards rigid ring; FB, Cosgrove-Edwards flexible band; DV, De Vega procedure; PG, Peri-Guard annuloplasty. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 674-685DOI: (10.1016/j.jtcvs.2003.11.019)

Figure 3 Influence of preoperative permanent pacemaker on evolution of postoperative 3+ and 4+ tricuspid regurgitation. Format is as in Figure 2. Open circles = pacemaker; solid circles = no pacemaker. PPM, Permanent pacemaker; TR, tricuspid regurgitation. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 674-685DOI: (10.1016/j.jtcvs.2003.11.019)

Figure 4 Influence of preoperative left ventricular function on evolution of postoperative 3+ and 4+ tricuspid regurgitation. Curves indicate predicted percent of patients with 3+ and 4+ regurgitation postoperatively in each of the 4 left ventricular functional groups. Solid circles = preoperative left ventricular functional grade 1; open circles = grade 2; squares = grade 3; triangles = grade 4. TR, Tricuspid regurgitation. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 674-685DOI: (10.1016/j.jtcvs.2003.11.019)

Figure 5 Influence of preoperative tricuspid regurgitation grade on evolution of postoperative 3+ and 4+ tricuspid regurgitation. Curves indicate predicted percent of patients with 3+ and 4+ regurgitation postoperatively for patients stratified according to preoperative regurgitation grade. Grades 0, 1+, and 2+ are collapsed into 1 group. Solid circles = preoperative regurgitation grades 0, 1+, and 2+; open circles = grade 3+; squares = grade 4+. TR, Tricuspid regurgitation. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 674-685DOI: (10.1016/j.jtcvs.2003.11.019)