Ring or suture annuloplasty for tricuspid regurgitation? A meta-analysis review

Ann Thorac Surg. 2014 Dec;98(6):2255-63. doi: 10.1016/j.athoracsur.2014.06.100. Epub 2014 Oct 24.


We performed a meta-analysis of early and long-term outcomes after tricuspid repair to compare the results of suture-based and prosthetic ring annuloplasty with the employment of an algorithm that derives the original patient time-to-event data. There was an advantage in early but not in long-term survival with the use of the annuloplasty ring. The freedom from moderate tricuspid regurgitation was significantly better in patients with ring annuloplasty (78.9% ± 5.0% at 15 years vs 60.0% ± 4.2%, log-rank p = 0.0107). The ring annuloplasty is associated to better outcomes, being a protective factor for early mortality and long-term recurrence of tricuspid regurgitation after surgery.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Cardiac Valve Annuloplasty / methods*
  • Heart Valve Prosthesis*
  • Humans
  • Suture Techniques / instrumentation*
  • Sutures*
  • Tricuspid Valve / surgery*
  • Tricuspid Valve Insufficiency / surgery*