Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Clinical-hemodinamic assessment long-term results after De Vega annuloplasty in patients with severe functional tricuspid regurgitation

Authors: Muratov R.M., Dragan O.G., Babenko S.I., Sobole- va N.N., Sachkov A.S., Bockeria L.A.

Company:
A.N. Bakoulev Scientific Center for Cardiovascular Surgery of Russian Academy of Medical Sciences, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

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Link: Clinical Physiology of Blood Circulaiton. 2014; (): -

Quote as: Muratov R.M., Dragan O.G., Babenko S.I., Soboleva N.N., Sachkov A.S., Bockeria L.A. Clinical-hemodinamic assessment long-term results after De Vega annuloplasty in patients with severe functional tricuspid regurgitation. Klinicheskaya Fiziologiya Krovoobrashcheniya. 2014; 2: 25–31.

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Abstract

Objective –to assess long-term results after repair of tricuspidal valve in patients with severe functional regurgitation.
Material and methods. From 2001 to 2008 annuloplasty of tricuspid valve in severe functional regurgitation was per- formed in 100 patients. All patients treated III–IV NYHA class, severe tricuspid regurgitation had 36 (36%) patients, total tri- cuspid regurgitation 64 (64%). The overall degree of tricuspid regurgitation amounted to 3.64±0.48, pulmonary artery sys- tolic pressure 65.5±15.5 mm Hg.
Results. Hospital mortality was 13%, long-term mortality was 28%. In the last postoperative period mild tricuspid regurgi- tation awarded in 12 (19%) patients, severe regurgitation in 13 (20.5%). The overall tricuspid regurgitation was 1.5±1.2 degree. 13 (20.5%) patients was reoperated.
Conclusion. Annuloplasty tricuspid valve by De Vega is a simpleand effective method of correction of tricuspid functional insufficiency. However, a recurrent severe tricuspid regurgitation in the late postoperative period were noted in 13 (20.5%) patients.

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