{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,21]],"date-time":"2024-07-21T01:32:42Z","timestamp":1721525562415},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>\n            Background\u2003Functional tricuspid regurgitation (FTR) secondary to left-sided heart disease may lead to poor quality of life and reduced long-term survival. This study evaluated clinical and functional outcomes of patients undergoing tricuspid valve (TV) repair using a rigid three-dimensional ring (Contour 3D, Medtronic) concomitant with another procedure.<\/jats:p><jats:p>\n            Methods\u2003From September 2011 to July 2015, 112 patients (mean age 70.9\u2009\u00b1\u20099.0 years) were enrolled at 10 centers in Europe, Israel, and the United States. Inclusion criteria were FTR \u2265 moderate and\/or tricuspid annular diameter (TAD) \u2265 40 mm. Echocardiography was planned before surgery and at discharge with echocardiographic and clinical follow-ups performed 6 months postoperatively.<\/jats:p><jats:p>\n            Results\u2003Three fourths (74.4%) of patients had higher than moderate TR. Mean TAD was 41.0\u2009\u00b1\u20097.3\u2009mm; 61.7% of patients were in the New York Heart Association (NYHA) class III\/IV. The most common concomitant procedure was mitral valve repair (57 patients, 53.3%). The 30-day mortality rate was 0.9% (n\u2009=\u20091). The mean EuroSCORE II was 8.9\u2009\u00b1\u20098.4% (median: 5.9%; interquartile range: 3.5\u201311.5%). The observed to expected ratio (O\/E) based on the median was 0.1. Six deaths occurred during follow-up (three cardiac related). Mean implanted ring size was 30.3\u2009\u00b1\u20092.7. At 6 months, 94.4% of patients showed \u2264 mild TR, and 92.0% were in NYHA class I\/II (p\u2009&lt;\u20090.001 vs baseline for both). Mean pressure gradient across the TV was 2.0\u2009\u00b1\u20091.1\u2009mm Hg; leaflet coaptation length was 7.5\u2009\u00b1\u20093.3 mm.<\/jats:p><jats:p>\n            Conclusion\u2003The Contour 3D annuloplasty ring used for treatment of FTR substantially reduced TR for up to 6 postoperative months with low mean pressure gradients across the TV and significant improvement in NYHA class.<\/jats:p><jats:p>\n            Registration\u2003www.ClinicalTrials.gov, NCT01532921.<\/jats:p>","DOI":"10.1055\/s-0038-1673665","type":"journal-article","created":{"date-parts":[[2018,11,19]],"date-time":"2018-11-19T15:02:42Z","timestamp":1542639762000},"page":"478-485","source":"Crossref","is-referenced-by-count":3,"title":["Six-Month Performance of a 3-Dimensional Annuloplasty Ring for Repair of Functional Tricuspid Regurgitation"],"prefix":"10.1055","volume":"68","author":[{"given":"Ralf","family":"Guenzinger","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, German Heart Center Munich, Technische Universit\u00e4t M\u00fcnchen, Munich, Germany"},{"name":"Insure (Institute for Translational Cardiac Surgery), Department of Cardiovascular Surgery, German Heart Center Munich, Technische Universit\u00e4t M\u00fcnchen, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruediger S.","family":"Lange","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, German Heart Center Munich, Technische Universit\u00e4t M\u00fcnchen, Munich, Germany"},{"name":"Insure (Institute for Translational Cardiac Surgery), Department of Cardiovascular Surgery, German Heart Center Munich, Technische Universit\u00e4t M\u00fcnchen, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friedrich-Christian","family":"Rie\u00df","sequence":"additional","affiliation":[{"name":"Clinic of Cardiac Surgery, Albertinen Cardiovascular Center, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thorsten","family":"Hanke","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Asklepios Hospital Hamburg-Harburg, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Bischoff","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Mulhouse Hospital Center-Emile Muller Hospital, Mulhouse, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Francois","family":"Obadia","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery and Cardiac Transplantation, Hospitals of Lyon-Louis Pradel Hospital, Bron cedex, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gideon","family":"Sahar","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Soroka Medical Center, Be\u2019er Sheva, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dani","family":"Bitran","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Shaare-Zedek Medical Center, Jerusalem, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Harold","family":"Roberts","sequence":"additional","affiliation":[{"name":"West Virginia University Health Sciences Center, WVU Heart and Vascular Institute, Morgantown, WV Virginia, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuzhen","family":"Li","sequence":"additional","affiliation":[{"name":"Biostatistics Department, Medtronic, Mounds View, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven F.","family":"Bolling","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University of Michigan, Ann Arbor, MI, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,11,16]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1016\/S0022-5223(19)36207-5","article-title":"Tricuspid regurgitation in patients with acquired, chronic, pure mitral regurgitation. 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