Impact of suture annuloplasty repair for moderate functional tricuspid regurgitation in rheumatic patients undergoing mitral valve replacement (Early outcome) | ||
| SVU-International Journal of Medical Sciences | ||
| Article 36, Volume 5, Issue 2, July 2022, Pages 362-373 PDF (222.03 K) | ||
| Document Type: Original research articles | ||
| DOI: 10.21608/svuijm.2022.124028.1284 | ||
| Authors | ||
| Hazem Gamal Bakr* 1; Emmanuel Louka Aziz2; Ahmed Talaat Ahmed Ramadan1; Ashraf Mohamed Abd El-Aziz Hassan1 | ||
| 1Department of Cardio-Thoracic surgery, National Heart Institute, Cairo, Egypt. | ||
| 2Department of Cardiology, National Heart Institute, Cairo, Egypt. | ||
| Abstract | ||
| Background: In this study, we examine the outcomes of tricuspid valve repair against non-repair to see if there is a near-term progression of non-corrected moderate functional TR in patients who had mitral valve replacement for rheumatic mitral disease and if RV size and function were affected. Objectives: To evaluate the effect of the De Vega annuloplasty for repair of moderate functional TV regurge during the left heart valve surgery in early post-operative period. Patients and methods:A prospective randomized controlled trial will contain (forty patients aged from 25 to 55 years of both sexes )they will be divided into two groups of patients: Group A: Twenty patients with moderate functional tricuspid regurgitation who received tricuspid valve annuloplasty (TVA) in the form of De vega repair along with mitral valve replacement. Group B: Twenty patients with moderate functional tricuspid regurgitation who received mitral valve replacement without tricuspid valve annuloplasty (TVA). Results: TR and right ventricle diameter were found to be significantly reduced in Group A. In group B, (6) individuals (30%) had developed grade IV/IV TR after 6 months, while 65% of patients developed competent tricuspid valve after 6 months in group A .Furthermore, in group B, TABSE (tricuspid annular systemic excursion) had dropped significantly to 1.7±0.2 cm. Conclusion: In the early postoperative period, tricuspid suture annuloplasty combined with MVR can prevent the advancement of tricuspid regurgitation, right ventricular dilatation, and systolic dysfunction. | ||
| Keywords | ||
| Tricuspid valve surgery; repair; suture annuloplasty; and mitral valve replacement | ||
|
Statistics Article View: 198 PDF Download: 196 |
||
