Thorac Cardiovasc Surg 2020; 68(06): 503-506
DOI: 10.1055/s-0039-1698392
Short Communication

Off-Pump Tricuspid Annuloplasty through a Direct Transatrial Approach: Early Results

1   Division of Cardiac Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria
,
1   Division of Cardiac Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria
,
Guenther Laufer
1   Division of Cardiac Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria
,
Jude Sauer
2   Division of Cardiac Surgery, Department of Surgery, University of Rochester, New York, United States
› Author Affiliations

Abstract

Severe tricuspid regurgitation constitutes a growing disease burden. Conventional surgery for tricuspid valve disease has an increased risk while several interventional procedures are currently under clinical investigation, yet do not offer comprehensive solutions. We investigated a novel surgical approach for off-pump beating-heart tricuspid annuloplasty in circulating blood through a single port in the right atrium. Early feasibility results in preclinical porcine in vivo studies encourage further development of this approach, combining the proven concept of surgical annuloplasty with the benefits of minimally invasive off-pump procedures in a hybrid setting.

Note

Presented at ANZSCTS Annual-Meeting 2018 (Noosa, Queensland, Australia).




Publication History

Received: 10 May 2019

Accepted: 15 August 2019

Article published online:
04 November 2019

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 
  • References

  • 1 Fender EA, Zack CJ, Nishimura RA. Isolated tricuspid regurgitation: outcomes and therapeutic interventions. Heart 2018; 104 (10) 798-806
  • 2 Alkhouli M, Berzingi C, Kowatli A, Alqahtani F, Badhwar V. Comparative early outcomes of tricuspid valve repair versus replacement for secondary tricuspid regurgitation. Open Heart 2018; 5 (02) e000878
  • 3 Latib A, Grigioni F, Hahn RT. Tricuspid regurgitation: what is the real clinical impact and how often should it be treated?. EuroIntervention 2018; 14 (AB): AB101-AB111
  • 4 Nickenig G, Weber M, Schueler R. , et al. 6-Month outcomes of tricuspid valve reconstruction for patients with severe tricuspid regurgitation. J Am Coll Cardiol 2019; 73 (15) 1905-1915
  • 5 Nickenig G, Kowalski M, Hausleiter J. , et al. Transcatheter treatment of severe tricuspid regurgitation with the edge-to-edge Mitraclip technique. Circulation 2017; 135 (19) 1802-1814
  • 6 Gross RE, Pomeranz AA, Watkins Jr E, Goldsmith EI. Surgical closure of defects of the interauricular septum by use of an atrial well. N Engl J Med 1952; 247 (13) 455-460
  • 7 Ejiofor JI, Neely RC, Yammine M. , et al. Surgical outcomes of isolated tricuspid valve procedures: repair versus replacement. Ann Cardiothorac Surg 2017; 6 (03) 214-222
  • 8 Pfannmüller B, Misfeld M, Borger MA. , et al. Isolated reoperative minimally invasive tricuspid valve operations. Ann Thorac Surg 2012; 94 (06) 2005-2010
  • 9 Yadav H, Unsworth B, Fontana M. , et al. Selective right ventricular impairment following coronary artery bypass graft surgery. Eur J Cardiothorac Surg 2010; 37 (02) 393-398
  • 10 Pfannmüller B, Davierwala P, Misfeld M, Borger MA, Garbade J, Mohr FW. Postoperative outcome of isolated tricuspid valve operation using arrested-heart or beating-heart technique. Ann Thorac Surg 2012; 94 (04) 1218-1222