Imperial College London
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Mr Prakash P Punjabi

Faculty of Medicine, National Heart & Lung Institute

Professor of Practice (Cardiothoracic Surgery)
 
 
 
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Contact

 

+44 (0)20 3313 2026p.punjabi Website

 
 
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Location

 

BN2/25 B BlockHammersmith HospitalHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Abdul:2020:10.1177/0267659120910373,
author = {Abdul, Khader A and Khan, H and Stowell, C and Liu, G and Sameh, M and Punjabi, P},
doi = {10.1177/0267659120910373},
journal = {Perfusion},
pages = {267659120910373--267659120910373},
title = {Retrospective analysis of tricuspid valve repair using a novel surgical technique: A 7-year single-surgeon experience.},
url = {http://dx.doi.org/10.1177/0267659120910373},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - OBJECTIVES: Tricuspid annuloplasty is the optimal surgical repair technique for tricuspid regurgitation which improves mortality and morbidity. Ring annuloplasties is the techniques of choice. Here, we evaluate the efficacy and durability of a new method of interrupted pledgeted suture annuloplasty. METHODS: Between 2011 and 2018, 39 eligible patients underwent tricuspid valve repair using this novel technique. Indication for repair was a grade of regurgitation at moderate or greater, or an annular diameter >40 mm. Patients were assessed both preoperatively and postoperatively by echocardiogram. Follow-up results were split into the first postoperative echocardiogram and most recent postoperative echocardiogram undertaken. RESULTS: There were two in-hospital mortalities and two patients required permanent pacemaker implantation following surgery. At the time of the first postoperative echocardiogram undertaken (median 3 months postoperatively), freedom from moderate-severe regurgitation was 92.3%. At the time of the most recent postoperative echocardiogram undertaken (median 11 months postoperatively); none or mild regurgitation was detected in 24 patients (61.5%), mild-moderate in 11 (28.2%) and moderate-severe in 4 (10.3%) patients. Freedom from moderate-severe regurgitation was 89.7%. Postoperative grade of regurgitation was significantly reduced from preoperative grades (p < 0.001). CONCLUSION: Initial and midterm results of our technique show a good durability of repair. We have demonstrated recurrence rates of regurgitation equal and superior to current forms of suture annuloplasty published in the literature. This novel method of suture annuloplasty can be considered in the surgical repertoire of tricuspid valve repair techniques.
AU  - Abdul,Khader A
AU  - Khan,H
AU  - Stowell,C
AU  - Liu,G
AU  - Sameh,M
AU  - Punjabi,P
DO  - 10.1177/0267659120910373
EP  - 267659120910373
PY  - 2020///
SN  - 1477-111X
SP  - 267659120910373
TI  - Retrospective analysis of tricuspid valve repair using a novel surgical technique: A 7-year single-surgeon experience.
T2  - Perfusion
UR  - http://dx.doi.org/10.1177/0267659120910373
UR  - https://www.ncbi.nlm.nih.gov/pubmed/32339067
UR  - https://journals.sagepub.com/doi/10.1177/0267659120910373
ER  -
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