Tricuspid valve detachment as approach to ventricular septal defect repair: a meta-analysis
Ji Wei
Mo Ying
Zhu Yaobin
Luo Yi
Abstract：Objective To systematically review the efficacy and safety of tricuspid valve detachment (TVD) versus conventional surgical repair (non-TVD) in the treatment of ventricular septal defect (VSD).Methods Literatures about VSD repair with TVD and non-TVD published between February 1962 and February 2018 were identified using PubMed,Embase,the Cochrane Library,China National Knowledge Infrastructure,Chinese Biomedical Database and Wanfang Data.Cardiopulmonary bypass time,aortic cross-clamping time,postoperative complications including residual defect,complete atrioventricular block and moderate to severe tricuspid regurgitation were analyzed.Results Nine studies involving 4 144 patients in total,1 358 TVD and 2 786 non-TVD,3 963 perimembranous TSD and 181 other types,met the inclusion criteria.Meta analysis demonstrated longer aortic cross-clamping time in TVD patients compared to that in non-TVD patients (mean difference =5.01,95％ confidence interval:2.38-7.64,P =0.000 2);no significant differences were observed in cardiopulmonary bypass time,incidences of residual defect,complete atrioventricular block and moderate to severe tricuspid regurgitation(all P ＞ 0.05).Conclusion TVD provides equally viable and safe alternative in treating VSD.
Keywords：Ventricular septal defectTricuspid valve detachmentMeta analysis
Publication Date：2019-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 1317-1321 )