Impact of suture annuloplasty repair for moderate functional tricuspid regurgitation in rheumatic patients undergoing mitral valve replacement (Early outcome)
Bakr, H., Aziz, E., Ramadan, A., Hassan, A. (2022). Impact of suture annuloplasty repair for moderate functional tricuspid regurgitation in rheumatic patients undergoing mitral valve replacement (Early outcome). EKB Journal Management System, 5(2), 362-373. doi: 10.21608/svuijm.2022.124028.1284
Hazem Gamal Bakr; Emmanuel Louka Aziz; Ahmed Talaat Ahmed Ramadan; Ashraf Mohamed Abd El-Aziz Hassan. "Impact of suture annuloplasty repair for moderate functional tricuspid regurgitation in rheumatic patients undergoing mitral valve replacement (Early outcome)". EKB Journal Management System, 5, 2, 2022, 362-373. doi: 10.21608/svuijm.2022.124028.1284
Bakr, H., Aziz, E., Ramadan, A., Hassan, A. (2022). 'Impact of suture annuloplasty repair for moderate functional tricuspid regurgitation in rheumatic patients undergoing mitral valve replacement (Early outcome)', EKB Journal Management System, 5(2), pp. 362-373. doi: 10.21608/svuijm.2022.124028.1284
Bakr, H., Aziz, E., Ramadan, A., Hassan, A. Impact of suture annuloplasty repair for moderate functional tricuspid regurgitation in rheumatic patients undergoing mitral valve replacement (Early outcome). EKB Journal Management System, 2022; 5(2): 362-373. doi: 10.21608/svuijm.2022.124028.1284

Impact of suture annuloplasty repair for moderate functional tricuspid regurgitation in rheumatic patients undergoing mitral valve replacement (Early outcome)

SVU-International Journal of Medical Sciences
Article 36, Volume 5, Issue 2, July 2022, Page 362-373  XML PDF (222.03 K)
Document Type: Original research articles
DOI: 10.21608/svuijm.2022.124028.1284
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Authors
Hazem Gamal Bakr email 1; Emmanuel Louka Aziz2; Ahmed Talaat Ahmed Ramadan1; Ashraf Mohamed Abd El-Aziz Hassanorcid 1
1Department of Cardio-Thoracic surgery, National Heart Institute, Cairo, Egypt.
2Department of Cardiology, National Heart Institute, Cairo, Egypt.
Abstract
Background: In this study, we examine the outcomes of tricuspid valve repair against non-repair to see if there is a near-term progression of non-corrected moderate functional TR in patients who had mitral valve replacement for rheumatic mitral disease and if RV size and function were affected.
Objectives:  To evaluate the effect of  the De Vega annuloplasty for repair of  moderate functional TV regurge during the left heart valve surgery in early post-operative period.
Patients and methods:A prospective randomized controlled trial will contain (forty patients aged from 25 to 55 years of both sexes )they will be divided into two groups of patients: Group A: Twenty patients with moderate functional tricuspid regurgitation who received tricuspid valve annuloplasty (TVA) in the form of De vega repair along with mitral valve replacement. Group B: Twenty patients with moderate functional tricuspid regurgitation who received mitral valve replacement without tricuspid valve annuloplasty (TVA).
Results: TR and right ventricle diameter were found to be significantly reduced in Group A. In group B, (6) individuals (30%) had developed grade IV/IV TR after 6 months, while 65% of patients developed competent tricuspid valve after 6 months in group A .Furthermore, in group B, TABSE (tricuspid annular systemic excursion) had dropped significantly to 1.7±0.2 cm.
Conclusion: In the early postoperative period, tricuspid suture annuloplasty combined with MVR can prevent the advancement of tricuspid regurgitation, right ventricular dilatation, and systolic dysfunction.
Keywords
Tricuspid valve surgery; repair; suture annuloplasty; and mitral valve replacement
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