WHAT IS IT? Mitral/Tricuspid Valve Repair

ABOUT 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:

  • Reshaping of the valve by removing excess valve tissue
  • Attaching the valve to its chords
  • Adding support to the valve annulus by adding tissue or by sewing a band or ring around the outside of the valve

Some patients may feel physically better following valve surgery because they are no longer impacted by the symptoms of their valve disease.


Valve Repair with an Annuloplasty Ring or Band

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.

CG FUTURE RING AND BAND

CG FUTURE RING AND BAND

The semi-rigid CG Future™ annuloplasty system is used to restore the annulus to its proper dimensions.    

Contour 3D™ Annuloplasty Ring

Contour 3D Ring

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 

DURAN ANCORE RING AND BAND

DURAN ANCORE RING AND BAND

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. 

PROFILE 3D RING

PROFILE 3D RING

The Profile 3D™ annuloplasty system uses fully rigid rings to repair the mitral valve annulus (opening), restoring the valve to its natural shape.    

SIMULUS FLEXIBLE RING AND BAND

SIMULUS FLEXIBLE RING AND BAND

The Simulus™ flexible ring and band are used for mitral or tricuspid valve repair.

SIMULUS SEMI-RIGID ANNULOPLASTY SYSTEM

SIMULUS SEMI-RIGID RING AND BAND

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. 

Tri-Ad™ Adams Tricuspid Ring

Tri-Ad Adams Tricuspid Ring

The Tri-Ad™ ring provides flexible remodeling – the ring’s arms are flexible, whereas semi-rigid remodeling is targeted at the annular dilatation.  


1

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.

2

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.