The Journal of Practical Medicine ›› 2022, Vol. 38 ›› Issue (3): 350-353.doi: 10.3969/j.issn.1006⁃5725.2022.03.017

• Clinical Research • Previous Articles     Next Articles

Short term and long ⁃ term outcomes of tricuspid annuloplasty with autologous pericardial soft ring in pa⁃tients with left ventricular dysfunction #br#

JIANG Wei，WEI Kequan，LI Sicong，ZHONG Yonglong，HE Bangfu， LIN Hui，LONG Xiaomao.    

  1. Department of Cardiothoracic Vascular Surgery，People′s Hospital of Guangxi Zhuang Autonomous Region，Nanning 530021，China
  • Online:2022-02-10 Published:2022-02-10
  • Contact: LONG Xiaomao E⁃mail：longluke@126.com

Abstract:

Objective To analyze the short⁃term and long⁃term effects of tricuspid annuloplasty with autol⁃ogous pericardial soft ring on left ventricular dysfunction. Methods Eighty patients with tricuspid regurgitationcomplicated with left ventricular dysfunction treated in our hospital from January 2014 to January 2015 were ran⁃domly divided into control group and observation group. The former was treated with de Vega tricuspid valvuloplastyand the latter with autologous pericardial soft ring tricuspid valvuloplasty. The general data of the two groups werecollected and compared. The changes of cardiac function in both groups were examined. The two groups were com⁃pared in terms of the number of patients with moderate or above tricuspid regurgitation，5⁃year readmission rate，5 ⁃ year survival rate and postoperative complications. Results The levels of RVD and LAD in the observationgroup were significantly lower than those in the control group，and the levels of LVED，Co，LVEDd and LVEF inthe observation group were significantly higher than those in the control group（P < 0.05）. The level of TRAs in thepatients with severe reflux in the observation group was significantly lower than that in those with severe reflux inthe control group（P < 0.05）. In 5 years after operation，the number of patients with moderate tricuspid regurgitationand 5⁃year readmission rate in the observation group were significantly lower than those in the control group，andthe 5⁃year survival rate was significantly higher than that in the control group（P < 0.05）. Conclusion Autologouspericardial soft ring tricuspid annuloplasty is simple，safe and effective in the treatment of tricuspid regurgitationcombined with left ventricular insufficiency，and it can quickly restore the cardiac function of patients in the earlystage，and its effect during the follow⁃up period is significantly better than De Vega tricuspid annuloplasty. It cansignificantly improve their quality of life and prolong their life.

Key words:

left ventricular dysfunction, autologous pericardial soft ring tricuspid annuloplasty, cura?tive effect