Comparison of Short Term Outcomes of De Vega Repair versus Ring Annuloplasty in Cases of Functional Tricuspid Regurgitation

Abstract

Abstract Background functional tricuspid valve regurgitation (FTR) is a common problem accompanying left-sided heart lesions e.g. mitral stenosis. FTR is a serious disease which affects survival and quality of life if left untreated. Many techniques can be used to repair the tricuspid valve (TV), but the optimal method for repair is still controversial. The aim of our study is to compare ring annuloplasty and De Vega repair of TV as regard effectiveness and durability. Patients and Methods sixty patients who are candidate for mitral valve (MV) replacement and TV repair were randomized into two groups, 30 patients each. Group (A) underwent ring annuloplasty, and group (B) underwent De Vega repair of TV. Patients from both groups were followed up after the operation for one year. Results Ring annuloplasty was more effective as the mean grade of TR in this group (1.6 ± 1.2) was significantly lower than that in De Vega group (2.2 ± 1.0), p value 0.041. After one year of follow up, no significant increase was present in the mean grade of TR in the ring annuloplasty group. However, grade of TR increased significantly in the De Vega group from 2.2 to 2.6, p value < 0.001. Conclusion Ring annuloplasty provides more effective and durable reduction of FTR compared to De Vega repair of TV.