Comparative Study between DE Vega and Pericardial Band Annuloplasty in Management of Functional Tricuspid Valve Regurge

Authors

  • Zakaria Moustafa AL mashtoly
  • Medhat Ahmed Refaie Mohamed
  • Ismail Nasr El sokkary
  • Ahmed H. Mohamed

DOI:

https://doi.org/10.37506/ijocs.v10i2.3314

Keywords:

Tricuspid regurgitation; band annuloplasty; De Vega; interventions; follow-up.

Abstract

Dilated annulus tricuspid regurgitation is a frequent pathology mostly with functional right ventricular
impairment. Our study was to compare result of De Vaga (DV) repair Versus Band Annuloplasty (BA) in
patients with severe functional Tricuspid valve regurge. A total of 80 patients underwent TV repair at Beni-Suef
university Hospital with 40 DV and 40 had BA; accompanying interventions done for mitral valve or double
valve replacement. Clinical and echocardiographic follow-up data were obtained. Follow-up after 6months was
done completely. A higher proportion of grade 0 and I of tricuspid regurge post-operatively in BA group and a
higher proportion of TR grade II among DV group. After 6-12 months follow-up, The NYHA higher grades (I, II,
III) were significantly more prevalent in the DV. There was no statistical difference between the BA group and the
DV group regarding the proportion of morbidity and mortality. The 2 interventions are considerable in tricuspid
valve repair although good evidence in support of BA compared with DV suture repair for treatment of moderate
to severe TV regurgitation; longer follow up durations is recommended for better post-operative evaluation to
morbidities and mortalities.

Author Biographies

Zakaria Moustafa AL mashtoly

Cardiothoracic Surgery department, Faculty of Medicine, Al Azhar University, Cairo, 11311 Egypt

Medhat Ahmed Refaie Mohamed

Cardiothoracic Surgery department, Faculty of Medicine, Al Azhar University, Cairo, 11311 Egypt

Ismail Nasr El sokkary

Cardiothoracic Surgery department, Faculty of Medicine, Al Azhar University, Cairo, 11311 Egypt

Ahmed H. Mohamed

Cardiothoracic Surgery department, Faculty of Medicine, Beni Suef University, Beni-Suef, 62514 Egypt

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Published

2022-08-29