De Vega annuloplasty and Carpentier-Edwards ring annuloplasty for secondary tricuspid regurgitation

Citation
K. Matsuyama et al., De Vega annuloplasty and Carpentier-Edwards ring annuloplasty for secondary tricuspid regurgitation, J HEART V D, 10(4), 2001, pp. 520-524
Citations number
15
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Cardiovascular & Respiratory Systems
Journal title
JOURNAL OF HEART VALVE DISEASE
ISSN journal
0966-8519 → ACNP
Volume
10
Issue
4
Year of publication
2001
Pages
520 - 524
Database
ISI
SICI code
0966-8519(200107)10:4<520:DVAACR>2.0.ZU;2-N
Abstract
Background and aim of the study: Residual or recurrent tricuspid regurgitat ion (TR) has been reported after several types of surgical repair. The deve lopment of late TR is an important complication of left heart surgery. The results of De Vega annuloplasty were compared with those obtained after Car pentier-Edwards ring (CE ring) annuloplasty in patients with secondary TR. Methods: The records of 45 patients who underwent surgery for secondary TR between January 1995 and July 2000 were reviewed retrospectively. Twenty-ei ght patients underwent De Vega annuloplasty, and 17 had a CE ring annulopla sty. The groups were similar with respect to associated cardiac lesions. No significant preoperative differences were observed in NYHA functional clas s, TR grade, and pulmonary artery pressure between the two groups. Results: One CE patient died of left ventricular dysfunction after postoper ative bleeding. The 28 De Vega patients and remaining 16 CE patients had an uneventful recovery, and were discharged. Tricuspid ring size after repair was similar between groups. Mean (+/- SD) follow up in the entire patient cohort was 39 +/- 23 months (range: 6 to 75 months). TR recurrence was rate d as grade II or III in 13 patients (45%) after De Vega annuloplasty, but w as grade II or III in only one patient (6%) patient after CE ring annulopla sty. There was a significant difference in TR recurrence between the groups (p = 0.027), but no significant difference in NYHA class. Conclusion: CE ring annuloplasty significantly decreased the recurrence of TR; thus, CE ring annuloplasty is superior to De Vega annuloplasty in patie nts with secondary TR.