Tricuspid Valve Repair-Indications and Techniques: Suture Annuloplasty and Band Annuloplasty

摘要

Recently there has been new interest in the tricuspid valve, as different research identified late tricuspid regurgita-tion, olten a consequence of uncorrected lesion during surgery, as a determinant of poor clinical outcome and even of higher late mortality.However, it is still not clear when, at the first operation, functional tricuspid regurgitation has to be corrected. In most of the surgical articles, the decision to perform tricuspid valve (TV) repair during mitral valve (MV) surgery was left to the surgeon's discretion or even was not specified. The 2008 American Heart Association/American College of Cardiology guidelines6 suggested to perform TV annuloplasty in patients with severe tricuspid regurgitation (TR) requiring MV surgery for MV disease (class IB); TV annuloplasty for TR less than severe should he indicated in patients undergoing MV surgery having pulmonary hypertension or tricuspid annular dilation (class 1115). The Euro-