{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T13:22:32Z","timestamp":1787664152347,"version":"build-2736575974"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To compare the long-term efficacy of autologous pericardial soft-ring annuloplasty (P-TVP) versus prosthetic ring annuloplasty (A-TVP) for functional tricuspid regurgitation (FTR) secondary to rheumatic heart disease (RHD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 251 consecutive RHD patients undergoing tricuspid annuloplasty from December 2013 to December 2023 were retrospectively analyzed. Among them, 139 underwent P-TVP and 112 received A-TVP. Propensity score matching (1:1) yielded 64 comparable pairs. Follow-up at 6,24,48 and 96 months assessed TR recurrence and right-heart remodeling. Multiple imputation was applied for partially missing follow-up data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Early outcomes at 6 and 24 months were similar between groups. However, recurrence of moderate TR was significantly lower in the P-TVP group at 48 and 96 months (both\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). Greater right-atrial reverse remodeling was observed in the P-TVP group at 48 months (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05), while right-ventricular diameter remained comparable at 96 months (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05). No increase in procedure-related complications was observed in the P-TVP group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this hypothesis-generating study, autologous pericardial soft-ring annuloplasty was associated with more favorable long-term TR control and right atrial reverse remodeling compared with prosthetic ring annuloplasty, despite similar early outcomes. These findings suggest a potential advantage of flexible biological annuloplasty in selected RHD patients, but should be interpreted with caution due to the modest sample size, incomplete follow-up, and retrospective design. Prospective multicenter studies are required to confirm these observations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fcvm.2026.1743805","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T05:19:14Z","timestamp":1774588754000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Autologous pericardial soft-ring annuloplasty may offer improved long-term control of rheumatic functional tricuspid regurgitation: a propensity-matched cohort study"],"prefix":"10.3389","volume":"13","author":[{"given":"Sicong","family":"Li","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region","place":["Nanning, Guangxi Zhuang Autonomous Region, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region","place":["Nanning, Guangxi Zhuang Autonomous Region, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuyao","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region","place":["Nanning, Guangxi Zhuang Autonomous Region, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kequan","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region","place":["Nanning, Guangxi Zhuang Autonomous Region, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region","place":["Nanning, Guangxi Zhuang Autonomous Region, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Songtao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region","place":["Nanning, Guangxi Zhuang Autonomous Region, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaomao","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region","place":["Nanning, Guangxi Zhuang Autonomous Region, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e032999","DOI":"10.1161\/JAHA.123.032999","article-title":"Tricuspid regurgitation: a review of current interventional management","volume":"13","author":"Ambrosino","year":"2024","journal-title":"J Am Heart 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