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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 2002 Dicembre;43(6):773-7

lingua: Inglese

Long-term results after De Vega’s tricuspid annuloplasty

Morishita A., Kitamura M., Noji S., Aomi S., Endo M., Koyanagi H.

Depart­ment of Car­di­o­vas­cular Sur­gery The ­Heart Insti­tute of ­Japan Tokyo ­Women’s Med­ical Uni­ver­sity, ­Tokyo, ­Japan


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Back­ground. ­Although ­some sur­geons ­prefer to use arti­fi­cial ­valve ­rings for tri­cuspid ­valve annu­lo­plasty, we ­have ­mainly per­formed De ­Vega’s tri­cuspid annu­lo­plasty for func­tional tri­cuspid regur­gi­ta­tion, ­because it is a ­simple and effec­tive tech­nique for ­reducing tri­cuspid regur­gi­ta­tion due to ­annular dil­a­ta­tion. We eval­u­ated ­long-­term ­results of the De ­Vega’s tri­cuspid annu­lo­plasty up to 19 post­op­er­a­tive ­years.
­Methods. ­Between Jan­uary 1980 and ­June 1999, 408 ­patients under­went De ­Vega’s tri­cuspid annu­lo­plasty. ­Long-­term ­results ­after De ­Vega’s tri­cuspid annu­lo­plasty ­were ana­lyzed.
­Results. ­There ­were 14 (3.4%) ­early ­deaths ­within 30 post­op­er­a­tive ­days. ­There ­were 63 (15.4%) ­late ­deaths ­during the ­follow-up ­period. The actu­arial sur­vival ­rate at 15 ­years ­after oper­a­tion was 74.0%, the 15-­year ­freedom ­from re-op­er­a­tion was 91.6%, and the 15-­year ­freedom ­from all ­events was 58.7%, respec­tively.
Con­clu­sions. ­These ­results sug­gest ­that De ­Vega’s tri­cuspid annu­lo­plasty was an effec­tive and reli­able pro­ce­dure of ­choice for sec­on­dary tri­cuspid regur­gi­ta­tion ­with ­annular dil­a­ta­tion.

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