How - to - do - it A single - size band , 50 mm long , for tricuspid annuloplasty Antonio

A technique for tricuspid annuloplasty is presented, using a flexible 50 mm long band, where the annular circumference is reduced to a fixed value of 78.5 mm (circumference of #25 mm sizer). From June to February 2007, 15 consecutive patients with tricuspid regurgitation (TR) underwent tricuspid repair using this technique. The first suture is passed at the level of the anteroseptal commissure, the last one in the zone of the septal annulus, 28.5 mm from the first one. The remaining sutures are passed as usual. All the sutures are then adapted to a 50 mm long band. After a mean of 5.4 months from surgery, all patients are alive and asymptomatic. One patient showed residual 2/4 TR, due to enlarged RV with high pulmonary pressure despite a well functioning mitral prosthesis. Mean gradient across the tricuspid valve was 2.5 0.4 mmHg. This technique for tricuspid repair is simple and reliable, providing effective and reproducible results. # 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.