Progress in Surgical Treatment of Secondary Tricuspid Insufficiency_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

PAN Shiwei , HU Shengshou.

Department of Adult Cardiac Center, Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences &;
Peking Union Medical College, Beijing 100037, P. R. China;

Corresponding author：

Keywords：

Tricuspid valve repair; Secondary tricuspid insufficiency; Surgical procedure

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Abstract： Tricuspid insufficiency founded in the setting of left-sided heart disease is usually secondary tricuspid insufficiency caused by tricuspid valve annular dilation. Some patients had rheumatic tricuspid valve diseases. Tricuspid valve repair rather than valve replacement is recommend for functional tricuspid regurgitation. Linear annuloplasty and ring annuloplasty are two main tricuspid valve repair methods. However, the indications for treatment of secondary tricuspid regurgitation remain controversial. The optimal surgical repair technique to eliminate secondary tricuspid regurgitation remains challenging. In this article, we review the assessment of tricuspid valve lesions, criteria for correction, and surgical management of secondary tricuspid insufficiency.methods. However, the indications for treatment of secondary tricus

Citation： PAN Shiwei,HU Shengshou.. Progress in Surgical Treatment of Secondary Tricuspid Insufficiency. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2012, 19(2): 185-188. doi: Copy

1.	Solomon NA, Lim RC, Nand P, et al. Tricuspid valve replacement: bioprosthetic or mechanical valve? Asian Cardiovasc Thorac Ann, 2004, 12（2）: 143-148.
2.	Kaplan M, Kut MS, Demirtas MM, et al. Prosthetic replacement of tricuspid valve: bioprosthetic or mechanical. Ann Thorac Surg, 2002, 73（2）: 467-473.
3.	Guenther T, Noebauer C, Mazzitelli D, et al.Tricuspid valve surgery:a thirty-year assessment of early and late outcome.Eur J Cardiothorac Surg, 2008, 34（2）: 402-409.
4.	Matsuyama K, Matsumoto M, Sugita T, et al.De Vega annuloplasty and Carpentier-Edwards ring annuloplasty for secondary tricuspid regurgitation.J Heart Valve Dis, 2001, 10（4）: 520-524.
5.	Tang GH, David TE, Singh SK, et al.Tricuspid valve repair with an annuloplastyring results in improved long-term outcomes.Circulation, 2006, 114（1 Suppl）: I577-I581.
6.	周睿, 徐方杰, 陈佩莉, 等.三尖瓣环成形治疗功能性三尖瓣反流245例总结.中国循环杂志, 2009, 24（1）: 52-55.
7.	McCarthy PM, Bhudia SK, Rajeswaran J, et al. Tricuspid valve repair: durability and risk factors for failure. J Thorac Cardiovasc Surg, 2004, 127（3）: 674-685.
8.	Shiran A, Sagie A.Tricuspid regurgitation in mitral valve disease incidence, prognostic implications, mechanism, and management.J Am Coll Cardiol, 2009, 53（5）: 401-408.
9.	Di Mauro M, Bivona A, Iacò AL, et al. Mitral valve surgery for functional mitral regurgitation: prognostic role of tricuspid regurgitation.Eur J Cardiothorac Surg, 2009, 35（4）: 635-640.
10.	Bemal JM, Morales D, Revuelta C, et a1. Reoperations after tricuspid valve repair. J Thorac Cardiovasc Surg, 2005, 130: 498-503.
11.	Matsuyama K, Matsumoto M, Sugita T, et al. Predictors of residual tricuspid regurgiration after mitral valve surgery. Ann Thorac Surg, 2003, 75（6）: 1826-1828.
12.	Bonow RO, Carabello BA, Chatterjee K, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing Committee to Revise the 1998 guidelines for the management of patients with valvular heart disease) developed in collaboration with the Society of Cardiovascular Anesthesiologists endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. J Am Coll Cardiol, 2006, 48（3）: e1-e148.
13.	Vahanian A, Baumgartner H, Bax J, et al. Guidelines on the management of valvular heart disease: the task force on the management of valvular heart disease of the European society of cardiology. Eur Heart J, 2007, 28（2）: 230-268.
14.	Dreyfus GD, Corbi PJ, Chan KM, et al. Secondary tricuspid regurgitation or dilatation: which should be the criteria for surgical repair? Ann Thorac Surg, 2005, 79（1）: 127-132.
15.	Groves PH, Hall RJ. Late tricuspid regurgitation following mitral valve surgery. J Heart Valve Dis, 1992, 1（1）: 80-86.
16.	Porter A, Shapira Y, Wurzel M, et al. Tricuspid regurgitation later after mitral valve replacement： clinical and echocardiographic evaluation. J Heart Valve Dis, 1999, 8（1）: 57-62.
17.	Henein MY, O’Sullivan CA, Li W, et al. Evidence for rheumatic valve disease in patients with severe tricuspid regurgitation long after mitral valve surgery: the role of 3D echo reconstruction. J Heart Valve Dis, 2003, 12（5）: 566-572.
18.	Braunwald NS, Ross J Jr, Morrow AG. Conservative management of tricuspid regurgitation in patients undergoing mitral valve replacement. Circulation, 1967, 35（4 Suppl）: I63-I69.
19.	Kim HK, Kim YJ, Park JS, et al. Determinants of the severity of functional tricuspid regurgitation. Am J Cardiol, 2006, 98（2）: 236-242.
20.	Fukuda S, Gillinov AM, McCarthy PM, et al. Determinants of recurrent of residual functional tricuspid regurgitation after tricuspid annuloplasty. Circulation, 2006, 114: (1 Suppl ): I582-I587.
21.	Fukuda S, Gillinov AM, McCarthy PM, et al. Echocardiographic follow-up of tricuspid annuloplasty with a new three-dimensional ring in patients with functional tricuspid regurgitation. J Am Soc Echocardiogr, 2007, 20（11）: 1236-1242.
22.	潘世伟, 胡盛寿, 许建屏, 等.核素肺灌注显像对瓣膜性心脏病合并肺动脉高压病人的手术疗效观察.中华胸心血管外科杂志, 2010, 26（4）: 240-243.
23.	Holper K, Haehnel JC, Augustin N, et a1. Surgery for tricuspid insuficiency：long-term follow-up after De Vega annuloplasty. Thorac Cardiovasc Surg, 1993, 41（1）: 1-8.
24.	McCarthy JF, Cosgrove DM 3rd. Tricuspid valve repair with the Cosgrove-Edwards Annuloplasty System. Ann Thorac Surg, 1997, 64（1）: 267-268.
25.	潘世伟, 胡盛寿, 许建屏, 等.成形软环应用于三尖瓣关闭不全修复的疗效评价. 中国循环杂志, 2009, 24（5）: 379-382.
26.	Filsoufi F, Salzberg SP, Coutu M, et al. A three-dimensional ring annuloplasty for the treatment of tricuspid regurgitation. Ann Thorac Surg, 2006, 81（6）: 2273-2277.
27.	Calafiore AM, Lacò AL, Contini M, et al. A single-size band, 50 mm long, for tricuspid annuloplasty. Eur J Cardiothorac Surg, 2008, 34（3）: 677-679.
28.	Dreyfus GD, Raja SG, John Chan KM. Tricuspid leaflet augmentation to address severe tethering in functional tricuspid regurgitation. Eur J Cardiothorac Surg, 2008, 34（4）: 908-910.
29.	Kappert U, Tugtekin SM, Ouda A, et al. Right ventricular reduction as an adjunct procedure in tricuspid valve repair. Ann Thorac Surg, 2008, 85（5）: e27-e29.
30.	Sasaki T, Takahashi Y, Ando M, et a1. Edge-to-edge tricuspid valve repair in hypoplastic left heart syndrome. Gen Thorac Cardiovasc Surg, 2007, 55（12）: 505-507.
31.	De Bonis M, Lapenna E, La Canna G, et a1. A novel technique for correction of severe tricuspid valve regurgitation due to complex lesions. Eur J Cardiothorac Surg, 2004, 25（5）: 760-765.

1. 　Solomon NA, Lim RC, Nand P, et al. Tricuspid valve replacement: bioprosthetic or mechanical valve? Asian Cardiovasc Thorac Ann, 2004, 12（2）: 143-148.
2. 　Kaplan M, Kut MS, Demirtas MM, et al. Prosthetic replacement of tricuspid valve: bioprosthetic or mechanical. Ann Thorac Surg, 2002, 73（2）: 467-473.
3. 　Guenther T, Noebauer C, Mazzitelli D, et al.Tricuspid valve surgery:a thirty-year assessment of early and late outcome.Eur J Cardiothorac Surg, 2008, 34（2）: 402-409.
4. 　Matsuyama K, Matsumoto M, Sugita T, et al.De Vega annuloplasty and Carpentier-Edwards ring annuloplasty for secondary tricuspid regurgitation.J Heart Valve Dis, 2001, 10（4）: 520-524.
5. 　Tang GH, David TE, Singh SK, et al.Tricuspid valve repair with an annuloplastyring results in improved long-term outcomes.Circulation, 2006, 114（1 Suppl）: I577-I581.
6. 　周睿, 徐方杰, 陈佩莉, 等.三尖瓣环成形治疗功能性三尖瓣反流245例总结.中国循环杂志, 2009, 24（1）: 52-55.
7. 　McCarthy PM, Bhudia SK, Rajeswaran J, et al. Tricuspid valve repair: durability and risk factors for failure. J Thorac Cardiovasc Surg, 2004, 127（3）: 674-685.
8. 　Shiran A, Sagie A.Tricuspid regurgitation in mitral valve disease incidence, prognostic implications, mechanism, and management.J Am Coll Cardiol, 2009, 53（5）: 401-408.
9. 　Di Mauro M, Bivona A, Iacò AL, et al. Mitral valve surgery for functional mitral regurgitation: prognostic role of tricuspid regurgitation.Eur J Cardiothorac Surg, 2009, 35（4）: 635-640.
10. 　Bemal JM, Morales D, Revuelta C, et a1. Reoperations after tricuspid valve repair. J Thorac Cardiovasc Surg, 2005, 130: 498-503.
11. 　Matsuyama K, Matsumoto M, Sugita T, et al. Predictors of residual tricuspid regurgiration after mitral valve surgery. Ann Thorac Surg, 2003, 75（6）: 1826-1828.
12. 　Bonow RO, Carabello BA, Chatterjee K, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing Committee to Revise the 1998 guidelines for the management of patients with valvular heart disease) developed in collaboration with the Society of Cardiovascular Anesthesiologists endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. J Am Coll Cardiol, 2006, 48（3）: e1-e148.
13. 　Vahanian A, Baumgartner H, Bax J, et al. Guidelines on the management of valvular heart disease: the task force on the management of valvular heart disease of the European society of cardiology. Eur Heart J, 2007, 28（2）: 230-268.
14. 　Dreyfus GD, Corbi PJ, Chan KM, et al. Secondary tricuspid regurgitation or dilatation: which should be the criteria for surgical repair? Ann Thorac Surg, 2005, 79（1）: 127-132.
15. 　Groves PH, Hall RJ. Late tricuspid regurgitation following mitral valve surgery. J Heart Valve Dis, 1992, 1（1）: 80-86.
16. 　Porter A, Shapira Y, Wurzel M, et al. Tricuspid regurgitation later after mitral valve replacement： clinical and echocardiographic evaluation. J Heart Valve Dis, 1999, 8（1）: 57-62.
17. 　Henein MY, O’Sullivan CA, Li W, et al. Evidence for rheumatic valve disease in patients with severe tricuspid regurgitation long after mitral valve surgery: the role of 3D echo reconstruction. J Heart Valve Dis, 2003, 12（5）: 566-572.
18. 　Braunwald NS, Ross J Jr, Morrow AG. Conservative management of tricuspid regurgitation in patients undergoing mitral valve replacement. Circulation, 1967, 35（4 Suppl）: I63-I69.
19. 　Kim HK, Kim YJ, Park JS, et al. Determinants of the severity of functional tricuspid regurgitation. Am J Cardiol, 2006, 98（2）: 236-242.
20. 　Fukuda S, Gillinov AM, McCarthy PM, et al. Determinants of recurrent of residual functional tricuspid regurgitation after tricuspid annuloplasty. Circulation, 2006, 114: (1 Suppl ): I582-I587.
21. 　Fukuda S, Gillinov AM, McCarthy PM, et al. Echocardiographic follow-up of tricuspid annuloplasty with a new three-dimensional ring in patients with functional tricuspid regurgitation. J Am Soc Echocardiogr, 2007, 20（11）: 1236-1242.
22. 　潘世伟, 胡盛寿, 许建屏, 等.核素肺灌注显像对瓣膜性心脏病合并肺动脉高压病人的手术疗效观察.中华胸心血管外科杂志, 2010, 26（4）: 240-243.
23. 　Holper K, Haehnel JC, Augustin N, et a1. Surgery for tricuspid insuficiency：long-term follow-up after De Vega annuloplasty. Thorac Cardiovasc Surg, 1993, 41（1）: 1-8.
24. 　McCarthy JF, Cosgrove DM 3rd. Tricuspid valve repair with the Cosgrove-Edwards Annuloplasty System. Ann Thorac Surg, 1997, 64（1）: 267-268.
25. 　潘世伟, 胡盛寿, 许建屏, 等.成形软环应用于三尖瓣关闭不全修复的疗效评价. 中国循环杂志, 2009, 24（5）: 379-382.
26. 　Filsoufi F, Salzberg SP, Coutu M, et al. A three-dimensional ring annuloplasty for the treatment of tricuspid regurgitation. Ann Thorac Surg, 2006, 81（6）: 2273-2277.
27. 　Calafiore AM, Lacò AL, Contini M, et al. A single-size band, 50 mm long, for tricuspid annuloplasty. Eur J Cardiothorac Surg, 2008, 34（3）: 677-679.
28. 　Dreyfus GD, Raja SG, John Chan KM. Tricuspid leaflet augmentation to address severe tethering in functional tricuspid regurgitation. Eur J Cardiothorac Surg, 2008, 34（4）: 908-910.
29. 　Kappert U, Tugtekin SM, Ouda A, et al. Right ventricular reduction as an adjunct procedure in tricuspid valve repair. Ann Thorac Surg, 2008, 85（5）: e27-e29.
30. 　Sasaki T, Takahashi Y, Ando M, et a1. Edge-to-edge tricuspid valve repair in hypoplastic left heart syndrome. Gen Thorac Cardiovasc Surg, 2007, 55（12）: 505-507.
31. 　De Bonis M, Lapenna E, La Canna G, et a1. A novel technique for correction of severe tricuspid valve regurgitation due to complex lesions. Eur J Cardiothorac Surg, 2004, 25（5）: 760-765.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Progress in Surgical Treatment of Secondary Tricuspid Insufficiency

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