Durability of functional tricuspid valve repair

Current tricuspid repair techniques have variable and disappointing durability. The authors of several studies have shown the superiority of ring (rather than suture or pericardial) annuloplasties; however, others suggest equal or superior results with suture or pericardial repair techniques. Indeed, recurrent significant tricuspid regurgitation has been reported consistently after repair; it is therefore unclear which technique provides the best long-term outcomes and in which patients. In this study, we evaluated the outcomes of different tricuspid repairs regarding durability and analyzed the risk factors for repair failure. We also presented our current approach to surgical management of functional tricuspid regurgitation on the basis of recent studies and our experience treating patients with heart failure.