Results of De Vega Annuloplasty and Tricuspid Ring Annuloplasty Using by Mitral Annuloplasty Ring in the Treatment of Functional Tricuspid Insufficiency

Ay Y., Kara I., Anasiz H., AYDIN C., Koksal C., Kahraman Ay N., ...More

TURKIYE KLINIKLERI TIP BILIMLERI DERGISI, vol.32, no.5, pp.1354-1360, 2012 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 32 Issue: 5
  • Publication Date: 2012
  • Doi Number: 10.5336/medsci.2011-28008
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1354-1360
  • Keywords: Tricuspid valve insufficiency, surgery, recurrence, REGURGITATION SECONDARY, SURGICAL-MANAGEMENT, VALVE DISEASE, ANNULUS
  • Bezmialem Vakıf University Affiliated: Yes


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 (p<0.01) post-operative improvement in both groups compared to the pre-operative data, no significant (p>0.05) 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.