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Eight-Year Outcomes of Tricuspid Annuloplasty Using Autologous Pericardial Strip for Functional Tricuspid Regurgitation  Byung-Chul Chang, MD, PhD, Suk-Won.

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Presentation on theme: "Eight-Year Outcomes of Tricuspid Annuloplasty Using Autologous Pericardial Strip for Functional Tricuspid Regurgitation  Byung-Chul Chang, MD, PhD, Suk-Won."— Presentation transcript:

1 Eight-Year Outcomes of Tricuspid Annuloplasty Using Autologous Pericardial Strip for Functional Tricuspid Regurgitation  Byung-Chul Chang, MD, PhD, Suk-Won Song, MD, PhD, Sak Lee, MD, Kyung-Jong Yoo, MD, PhD, Meyun-Shick Kang, MD, PhD, Namsik Chung, MD, PhD  The Annals of Thoracic Surgery  Volume 86, Issue 5, Pages (November 2008) DOI: /j.athoracsur Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Tricuspid annuloplasty techniques during the study period (white bar, autologous pericardial strip tricuspid annuloplasty; shaded bar, conventional suture tricuspid annuloplasty). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Tricuspid annuloplasty using autologous pericardial strip. (A) Operative photograph of the autologous pericardial strip - tricuspid annuloplasty. (B) Schematic drawing of annuloplasty. To make a tricuspid diameter (2R) about 27 to 32 mm after tricuspid annuloplasty, estimated length of autologous pericardial strip (L) is approximately 2/3 to 3/4 × 2πR ≒ approximately 60 to 70 mm. (AL = anterior leaflet; CS = coronary sinus; PL = posterior leaflet; SL = septal leaflet.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Predicted mean tricuspid regurgitation (TR) and tricuspid regurgitation prevalence using longitudinal regression analysis. (A) Mean change in tricuspid regurgitation as a function of time for each annuloplasty technique (p = 0.050). (B) Predicted prevalence of tricuspid regurgitation grades after autologous pericardial strip tricuspid annuloplasty (AP-TAP). (C) Predicted prevalence of tricuspid regurgitation grades after conventional suture tricuspid annuloplasty (C-TAP). (TAP = tricuspid annuloplasty.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Kaplan–Meier curves of overall survival (A) and echocardiographic recurrence-free survival (B) at 8 years in the autologous pericardial strip tricuspid annuloplasty (AP-TAP) and conventional suture tricuspid annuloplasty (C-TAP) groups. Overall survival was 92.1% in the autologous pericardial strip tricuspid annuloplasty group and 95.6% in the conventional suture tricuspid annuloplasty group (p = 0.742). Echocardiographic recurrence-free survival was 86.8% in the autologous pericardial strip tricuspid annuloplasty group and 71.9% in the conventional suture tricuspid annuloplasty group (p = 0.039). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

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