Background: Short term recovery after tricuspid valve repair is influenced by the annuloplasty technique used. Prosthetic rings are widely adopted, yet a simplified, cost saving modified suturing annuloplasty remains attractive especially in resource constrained settings. Comparative data on early clinical and echocardiographic results are still limited. So we aimed to compare short term outcomes of modified suturing annuloplasty (MSA) versus ring annuloplasty (RA) in the surgical repair of severe functional tricuspid regurgitation (TR).
Methods: This retrospective, single centre study enrolled 72 adults who underwent tricuspid valve repair at Zagazig University Hospitals. Patients were allocated to an MSA and RA group. Primary end points were early valve competence and NYHA functional class. Secondary end points included cardiopulmonary bypass (CPB) metrics, intensive care utilisation, residual TR, pulmonary artery systolic pressure (PASP), right ventricular end diastolic diameter (RVEDD), and peri operative complications.
Results: Mean aortic cross clamp and CPB times, concomitant left sided valve procedures, and immediate post repair residual TR were likewise similar. ICU stay, total hospital stay, inotrope requirements and Re-exploration due to bleeding showed no significant differences. Both techniques produced significant improvement in NYHA class at 1 month and 12 months, with no inter group difference. Residual TR remained minimal in both cohorts throughout follow up. PASP and RVEDD declined significantly after surgery in both groups.
Conclusion: In the short term, modified suturing annuloplasty provides clinical and echocardiographic outcomes equivalent to ring annuloplasty for functional TR, while retaining the advantages of technical simplicity and lower cost.
Shafeek, A., El-Sharawy, M., Abdelsayed, A., Ibrahim, M., Elalfy, E., Azab, M., Ahmady, I., & Sherif, W. (2025). Comparative Study between Modified Suturing Annuloplasty Technique vs Ring Annuloplasty Technique in Tricuspid Valve Repair, Short Term Outcomes. Zagazig University Medical Journal, 31(10), 4800-4806. doi: 10.21608/zumj.2025.407783.4078
MLA
Ahmed Mahmoud Ahmed Shafeek; Mamdouh El-Sharawy; Amir Abdelsayed; Mohammad Ismail Mohammad Ibrahim; Ehab Elalfy; Mohamed Abdelshafy Azab; Islam Ahmady; Waleed Abd Allah Atya Hassan Sherif. "Comparative Study between Modified Suturing Annuloplasty Technique vs Ring Annuloplasty Technique in Tricuspid Valve Repair, Short Term Outcomes", Zagazig University Medical Journal, 31, 10, 2025, 4800-4806. doi: 10.21608/zumj.2025.407783.4078
HARVARD
Shafeek, A., El-Sharawy, M., Abdelsayed, A., Ibrahim, M., Elalfy, E., Azab, M., Ahmady, I., Sherif, W. (2025). 'Comparative Study between Modified Suturing Annuloplasty Technique vs Ring Annuloplasty Technique in Tricuspid Valve Repair, Short Term Outcomes', Zagazig University Medical Journal, 31(10), pp. 4800-4806. doi: 10.21608/zumj.2025.407783.4078
VANCOUVER
Shafeek, A., El-Sharawy, M., Abdelsayed, A., Ibrahim, M., Elalfy, E., Azab, M., Ahmady, I., Sherif, W. Comparative Study between Modified Suturing Annuloplasty Technique vs Ring Annuloplasty Technique in Tricuspid Valve Repair, Short Term Outcomes. Zagazig University Medical Journal, 2025; 31(10): 4800-4806. doi: 10.21608/zumj.2025.407783.4078
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