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

Copyright © 2009 EDIZIONI MINERVA MEDICA

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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