DE VEGAS TRICUSPID ANNULOPLASTY - ANALYSIS OF 195 PATIENTS


PASAOGLU I., DEMIRCIN M., DOGAN R., HATIPOGLU A., GUNAY I., ERSOY U., ...Daha Fazla

THORACIC AND CARDIOVASCULAR SURGEON, cilt.38, ss.365-369, 1990 (SCI İndekslerine Giren Dergi) identifier

  • Cilt numarası: 38 Konu: 6
  • Basım Tarihi: 1990
  • Doi Numarası: 10.1055/s-2007-1014052
  • Dergi Adı: THORACIC AND CARDIOVASCULAR SURGEON
  • Sayfa Sayıları: ss.365-369

Özet

In the years 1984-1989, 195 De Vega tricuspid annuloplasties were performed in association with mitral or mitral-aortic valve procedures. Preoperatively, 9 patients (4.6%) were in New York Heart Association functional class II, 124 (63.6%) were in class III, and the remaining 62 (31.8%) were in class IV. Tricuspid insufficiency was recognized by routine digital palpation of the tricuspid valve during the operation in 42 (21.5%) of the patients. Hospital mortality rate was 7.6% (15 patients). Late deaths occurred in 6 (3.0%) cases during a follow-up period of 3 to 72 months (mean 42 months). 8 patients (4.1%) required reoperation. Tricuspid annuloplasty failure was observed in 4 patients (2%). These valves were replaced with biological valves in three patients and with a mechanical valve in one patient. 112 of the survivors (64.3%) were evaluated by echocardiography and/or right ventriculography. Analysis of postoperative data showed that in 84 of the 112 patients (75%) tricuspid regurgitation disappeared completely after annuloplasty. 88% of surviving patients were in functional class I or II. For the series presented actuarial survival rate at 6 years was 79.1%+/-14.4%. In the light of this study we recommend De Vega's annuloplasty as the method of choice for moderate to severe functional tricuspid insufficiency.