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Ann Thorac Surg 1982;34:710-713
© 1982 The Society of Thoracic Surgeons

Articles

An Improved de Vega Tricuspid Annuloplasty

Eisaburo Imamura, M.D.*, Hitoshi Ohteki, M.D., Hitoshi Koyanagi, M.D.

From the Division of Surgery, The Heart Institute of Japan, Tokyo Women's Medical College, Tokyo, Japan

Accepted for publication October 7, 1981.

* Address reprint requests to Dr. Imamura, The Heart Institute of Japan, Tokyo Women's Medical College, Shinjuku-ku, Tokyo 162, Japan

Constricting the tricuspid annulus to an optimal size and ensuring competency of the suture in situ are essential to the performance of a successful de Vega annuloplasty. An approach to this goal is presented. Important maneuvers include placement of the inside suture just on the ring portion, use of a 33 mm or 35 mm valve obturator to obtain an annulus of the desired size, and ligation of the knots at their roots to prevent potential loosening.






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