Striving on to improve our outcomes, this study aims to look back into the last 4 years the outcomes of different tricuspid annuloplasty techniques. We review and compare our experience with tricuspid ring annuloplasty between usage of the suture, flexible band/hard felt, local PHC ring and commercial rigid ring for repair of functional tricuspid regurgitation to determine the efficacy of tricuspid annuloplasty for year 2013 to 2017. 40 operations were done for patients with functional tricuspid regurgitation undergoing open heart surgery and tricuspid valve repair with intra operative echocardiogram. 22 of which have follow up echocardiographic data.
The PHC ring was used in 15 patients, commercial ring in 1 patient, prolene suture (De Vega and Kay Wohler) in 5 patients and flexible band in 1 patient. Echocardiographic evaluation of tricuspid regurgitation was performed preoperatively, intraoperatively and 6 months to 4 years on follow up. The degree of tricuspid regurgitation was reduced from moderate and severe to no triscuspid regurgitation, trivial, mild in the patients as seen in immediately post op transesophageal echocardiography. No significant difference was seen in De Vega suture, hard felt, PHC ring and commercial tricuspid ring immediately post operative. However, with follow up 2 D echo from 6 months to 4 years, the De Vega showed 4 moderate tricuspid regurgitation, 1 mild to moderate tricuspid regurgitation; PHC ring 2 moderate tricuspid regurgitation, 9 mild tricuspid regurgitation, 3 trivial tricuspid regurgitation and 1 no tricuspid regurgitation; commercial showed no triscuspid regurgitation and band showed mild triscuspid regurgitation on follow up.