title: Ring or suture annuloplasty for tricuspid regurgitation? A meta-analysis review.
abstract: We performed a meta-analysis of early and long-term outcomes after tricuspid repair to compare the results of suture-based and prosthetic ring annuloplasty with the employment of an algorithm that derives the original patient time-to-event data. There was an advantage in early but not in long-term survival with the use of the annuloplasty ring. The freedom from moderate tricuspid regurgitation was significantly better in patients with ring annuloplasty (78.9% ± 5.0% at 15 years vs 60.0% ± 4.2%, log-rank p = 0.0107). The ring annuloplasty is associated to better outcomes, being a protective factor for early mortality and long-term recurrence of tricuspid regurgitation after surgery.
authors.affiliation: Department of Cardiovascular Sciences, University of Milan, Milan.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Parolari
authors.affiliation: Department of Cardiac Surgery, S. Croce Hospital, Cuneo. Electronic address: fabarili@libero.it.
authors.forename: Fabio
authors.initials: F
authors.lastname: Barili
authors.affiliation: Department of Cardiovascular Sciences, University of Milan, Milan.
authors.forename: Alberto
authors.initials: A
authors.lastname: Pilozzi
authors.affiliation: Department of Cardiac Surgery, University of Bologna, Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Pacini
mesh_terms: D058385:Cardiac Valve Annuloplasty / Q000379:methods*; D006350:Heart Valve Prosthesis; D006801:Humans; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D014261:Tricuspid Valve / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000601:surgery*