Comparative Study between Modified Suturing Annuloplasty Technique vs Ring Annuloplasty Technique in Tricuspid Valve Repair, Short Term Outcomes | ||||
| Zagazig University Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 24 August 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2025.407783.4078 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Mahmoud Ahmed Shafeek1; Mamdouh El-Sharawy2; Amir Abdelsayed 1; Mohammad Ismail Mohammad Ibrahim1; Ehab Elalfy1; Mohamed Abdelshafy Azab1; Islam Ahmady  1; Waleed Abd Allah Atya Hassan Sherif1
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| 1Cardiothoracic surgery Department, Zagazig University, Zagazig, Egypt | ||||
| 2Cardiothoracic Surgery, Faculty of Medicine, Zagazig University, Egypt | ||||
| Abstract | ||||
| Background: Short term recovery after tricuspid valve repair is influenced by the annuloplasty technique used. Prosthetic rings are widely adopted, yet a simplified, cost saving modified suturing annuloplasty remains attractive especially in resource constrained settings. Comparative data on early clinical and echocardiographic results are still limited. So we aimed to compare short term outcomes of modified suturing annuloplasty (MSA) versus ring annuloplasty (RA) in the surgical repair of severe functional tricuspid regurgitation (TR). Methods: This retrospective, single centre study enrolled 72 adults who underwent tricuspid valve repair at Zagazig University Hospitals. Patients were allocated to an MSA and RA group. Primary end points were early valve competence and NYHA functional class. Secondary end points included cardiopulmonary bypass (CPB) metrics, intensive care utilisation, residual TR, pulmonary artery systolic pressure (PASP), right ventricular end diastolic diameter (RVEDD), and peri operative complications. Results: Mean aortic cross clamp and CPB times, concomitant left sided valve procedures, and immediate post repair residual TR were likewise similar. ICU stay, total hospital stay, inotrope requirements and Re-exploration due to bleeding showed no significant differences. Both techniques produced significant improvement in NYHA class at 1 month and 12 months, with no inter group difference. Residual TR remained minimal in both cohorts throughout follow up. PASP and RVEDD declined significantly after surgery in both groups. Conclusion: In the short term, modified suturing annuloplasty provides clinical and echocardiographic outcomes equivalent to ring annuloplasty for functional TR, while retaining the advantages of technical simplicity and lower cost. | ||||
| Keywords | ||||
| Modified suturing annuloplasty technique; ring annuloplasty technique; tricuspid valve repair | ||||
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