WHAT IS IT? Mitral/Tricuspid Valve Repair
If mitral/tricuspid valve repair is an option for you, the surgeon may need to reshape your heart valve. This is called an annuloplasty procedure. During an annuloplasty, the surgeon may also need to repair the leaflet tissue, remove calcium deposits, or repair the tough chords that control movement of the mitral and tricuspid valve leaflets. These chords are also called chordae tendineae. In most cases, repair is more successful if there is limited damage to certain areas of the valve.
For mitral/tricuspid valve repair, one of the following procedures is done:
Some patients may feel physically better following valve surgery because they are no longer impacted by the symptoms of their valve disease.
An annuloplasty ring or band is made up of durable plastic, metal, and fabric. It may be rigid, semi-rigid, or flexible. Rings and bands are designed to maintain the natural shape, motion, and flexibility of your annulus. The rings or bands may also contain a radiopaque marker that makes it possible for the healthcare professional to see them on an x-ray.
The semi-rigid CG Future™ annuloplasty system is used to restore the annulus to its proper dimensions.
The Contour 3D™ ring resembles the natural shape of the annulus to provide leaflet coaptation than planar rings by preserving greater leaflet mobility.1,2
The Duran AnCore™ annuloplasty system is used to provide shape and stability to the valve annulus. Flexible polyester Duran AnCore annuloplasty rings or bands preserve the natural geometry and flexibility of your valve annulus. This flexibility allows your repaired mitral or tricuspid valve to continuously move and change shape and size just as a natural valve does.
The Profile 3D™ annuloplasty system uses fully rigid rings to repair the mitral valve annulus (opening), restoring the valve to its natural shape.
The Simulus™ flexible ring and band are used for mitral or tricuspid valve repair.
A ring or band can be sewn around the base of the valve where it attaches to the heart (the annulus) to support the valve repair by providing shape and stability.
The Tri-Ad™ ring provides flexible remodeling – the ring’s arms are flexible, whereas semi-rigid remodeling is targeted at the annular dilatation.
Ratschiller T, et al. Early experiences with a new three-dimensional annuloplasty ring for the treatment of functional tricuspid regurgitation. Ann Thorac Surg 2014;98:2019-45.
Padala M, et al. Saddle shape of the mitral annulus reduces systolic strains on the P2 segment of the posterior mitral leaflet. Ann Thorac Surg 2009; 88:1499-505.