Short- and long-term outcomes of de Vega suture tricuspid annuloplasty technique
Abstract For many years tricuspid annuloplasty remains the current problem because clinical benefit largely depends of its efficacy. The de Vega suture annuloplasty and ring tricuspid annuloplasty are the most commonly used methods of tricuspid valve repair. Since January 2006 till November 2013 222 patients underwent TV repair at our institution using the de Vega suture annuloplasty. The mean age was 55±10.6 years, among which were 104 (46%) males and 118 (54%) of women. There were 6 (2%) hospital deaths. 164 (76%) patients were under observed in long-term, of whom 20 died (12%) and 22 (15%) had recurrent significant (III–IV) tricuspid regurgitation. There was one reoperation because of sever tricuspid regurgitation in long-term time. The main risk factors for failure of tricuspid annuloplasty are extended tricuspid annulus more than 45 mm and organic lesion of the tricuspid valve. Thus, de Vega suture tricuspid annuloplastyis an effective method of correction TV that should be performed in patients with relative tricuspid insufficiency without the severe tricuspid annulus dilation.
Keywords:relative insufficiency
of tricuspid valve, de Vega suture tricuspid annuloplasty technique, annulus dilatation
Clin. Experiment. Surg. Petrovsky J. 2015. № 3. Р. 25–30.
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