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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: BACKGROUND, RESULTS. Meshes: Adult, Age Factors, Aged, Aortic Valve, Coronary Artery Bypass, Coronary Disease, Disease-Free Survival, Female, Follow-Up Studies, Heart Diseases, Heart Valve Diseases, Humans, Intraoperative Period, Life Tables, Male, Middle Aged, Mitral Valve, Prostheses and Implants, Sex Factors, Survival Analysis, Suture Techniques, Treatment Outcome, Tricuspid Valve, Tricuspid Valve Insufficiency, Ultrasonography.
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Does tricuspid valve repair with an annuloplasty ring result in improved long-term outcomes? Context: The purpose of this study was to compare the long-term results of tricuspid valve (TV) repair with or without an annuloplasty ring. 702 patients underwent TV repair at our institution (1978 to 2003), of which 493 had, predominantly, a De Vega procedure (no ring) and 209 had an annuloplasty ring (ring). TV pathology was functional (secondary) in 74% of patients. Concomitant procedures consisted of mitral valve surgery in 80% of patients, aortic valve surgery in 33%, and coronary bypass in 14%. Clinical and echocardiographic follow-up data were obtained. Follow-up was 99% complete and was 5.9+/-4.9 (mean+/-SD) years long. Ring patients were younger (55+/-14 versus 59+/-14 years; P=0.001) and less likely to have coronary artery disease (10% versus 17%; P=0.02), more likely to be female (75% versus 65%; P=0.01) and having had previous cardiac surgery (56% versus 42%; P=0.001). Operative times were similar between the 2 groups. Long-term survival, event-free survival and freedom from recurrent TR were significantly better in the ring group, and there was a trend toward fewer TV reoperations. Multivariable analysis demonstrated that the use of an annuloplasty ring was an independent predictor of long-term survival (hazard ratio [HR], 0.7; 95% confidence interval [CI], 0.5 to 1.0; P=0.03) and event-free survival (HR, 0.8; CI, 0.6 to 1.0; P=0.04).
assistant
Placement of an annuloplasty ring in patients undergoing tricuspid valve repair is associated with improved survival and event-free survival. Final Decision: yes