Adjustable Segmental Tricuspid Annuloplasty: Technical Advantages and Midterm Results Anas Sarraj, PhD, José-Manuel Nuche, PhD, Lourdes Domínguez, MD,

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Adjustable Segmental Tricuspid Annuloplasty: Technical Advantages and Midterm Results Anas Sarraj, PhD, José-Manuel Nuche, PhD, Lourdes Domínguez, MD, Luís-Miguel García, MD, Guillermo Reyes, PhD, Juan Bustamante, PhD, Pablo Álvarez, MD, Juan Duarte, PhD The Annals of Thoracic Surgery Volume 87, Issue 4, Pages 1148-1153 (April 2009) DOI: 10.1016/j.athoracsur.2009.01.030 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Schematic presentation of the selective, adjustable, and commissural tricuspid annuloplasty. The Annals of Thoracic Surgery 2009 87, 1148-1153DOI: (10.1016/j.athoracsur.2009.01.030) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Forces of distension. (B) The sum of forces of distension passing over the wide Teflon. The Annals of Thoracic Surgery 2009 87, 1148-1153DOI: (10.1016/j.athoracsur.2009.01.030) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Segmental: The forces of distension are distributed over two separate sutures. The Annals of Thoracic Surgery 2009 87, 1148-1153DOI: (10.1016/j.athoracsur.2009.01.030) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Results of the adjustable segmental tricuspid annuloplasty in moderate and severe TR. The Annals of Thoracic Surgery 2009 87, 1148-1153DOI: (10.1016/j.athoracsur.2009.01.030) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Patients survival curve analyzed by the Kaplan-Meier method. The Annals of Thoracic Surgery 2009 87, 1148-1153DOI: (10.1016/j.athoracsur.2009.01.030) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions