Publication: Results of De Vega Annuloplasty and Tricuspid Ring Annuloplasty Using by Mitral Annuloplasty Ring in the Treatment of Functional Tricuspid Insufficiency
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Date
2012-10-01T00:00:00Z
Authors
Ay, Yasin
Kara, Ibrahim
Anasiz, Huseyin
AYDIN, CEMALETTİN
Kahraman Ay, Nuray
Alp, H. Mete
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Abstract
Objective: This study aimed to compare the medium-term results of patients with functional tricuspid insufficiency (FTI) treated with Tricuspid Ring Annuloplasty (TRA) and De Vega Annuloplasty (DVA). Material and Methods: With the approval of the Ethics Committee, 92 patients who were treated for FTI in our clinic between 2001-2008 were included in the study. Group I comprised 42 patients treated with TRA and Group II was included 50 patients treated with DVA. The mean follow-up period was 43.78+/-28.47 (6-86) months. Post-operative echocardiography findings (especially recurrent tricuspid insufficiency grades), duration of stay at the hospital and intensive care units, post-operative complications, New York Kalp Birligi (New York Heart Association-NYHA) classification and mortality data were compared between the groups. Results: No advanced (Grade 4) TI was encountered in medium-term follow-up in either of the groups. At the end of the mean follow-up period, 14.2% (n=6) of the patients in Group I had Grade 3 TI and 52.3% (n=22) had Grade 2 TI. In Group II, 20% (n=10) of the patients had Grade 3 TI and 56% (n=28) had Grade 2 TI. Although TI showed significant (p0.05) difference was present between the two groups in terms of post-operative recurrent TI. Conclusion: In patients with functional tricuspid valve insufficiency operated for mitral and/or aortic valve pathologies, both DVA and TRA provided significant improvement in tricuspid insufficiency.
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Ay Y., Kara I., Anasiz H., AYDIN C., Koksal C., Kahraman Ay N., Alp H. M. , -Results of De Vega Annuloplasty and Tricuspid Ring Annuloplasty Using by Mitral Annuloplasty Ring in the Treatment of Functional Tricuspid Insufficiency-, TURKIYE KLINIKLERI TIP BILIMLERI DERGISI, cilt.32, ss.1354-1360, 2012