Short- and Midterm outcomes of modified robotic tricuspid annuloplasty for secondary tricuspid regurgitation.
Gen Thorac Cardiovasc Surg
; 71(12): 692-699, 2023 Dec.
Article
em En
| MEDLINE
| ID: mdl-37418064
ABSTRACT
BACKGROUND:
Despite the growing popularity of robotically assisted mitral repair, robotically assisted tricuspid repair has not been widely adopted. We assessed the safety and feasibility of robotic tricuspid annuloplasty with continuous sutures for tricuspid regurgitation (TR). METHODS ANDRESULTS:
We studied consecutive 68 patients (median age, 74 years) with secondary TR who underwent tricuspid annuloplasty using continuous sutures with (n = 61) and without mitral valve repair (n = 7) from 2018 to 2021. Robotic tricuspid annuloplasty consists of continuous sutures with flexible prosthetic band to the tricuspid annulus using two V-Loc barbed sutures (Medtronic Inc., Minneapolis, MN). Concomitant maze procedure was performed in 45 (66%) patients. Robotic tricuspid annuloplasty with continuous sutures was successfully performed. There was no in-hospital or 30-day mortality; 65 patients (96%) did not experience major surgery-related complications. Preoperatively, the TR grade was mild in 20 (29%) patients and mildly higher in 48 (71%). Postoperatively, the TR severity significantly improved, with TR grade mildly higher in 9% at hospital discharge and 7% at 1-year follow-up (p < 0.001). The 1-year and 2-year freedom rates from heart failure were 98% and 95%, respectively.CONCLUSIONS:
Robotic tricuspid annuloplasty with continuous sutures is safe and feasible alone or concomitant with mitral valve repair. It offered sustained improvement in TR severity and might prevent heart failure readmission.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Insuficiência da Valva Tricúspide
/
Procedimentos Cirúrgicos Robóticos
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Insuficiência Cardíaca
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article