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Ann Thorac Surg 1989;48:670-676
© 1989 The Society of Thoracic Surgeons

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Articles

De Vega's annuloplasty for acquired tricuspid disease: Early and late results in 110 patients

Department of Thoracic and Cardiovascular Surgery, Sapporo Medical College, Sapporo, Japan

Accepted for publication July 28, 1989.

^_* Address reprint requests to Dr Abe, Department of Thoracic and Cardiovascular Surgery, Sapporo Medical College, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060, Japan.

From January 1978 through February 1989, 110 tricuspid annuloplasties (De Vega's procedure) were performed in association with mitral and combined mitral and aortic valve disease. Preoperatively, 106 (96%) of 110 patients were in New York Heart Association functional class III or IV. There were seven early deaths (6.3%), and 3 patients, 2 with mitral lesions and 1 with a combined lesion, died during a follow-up period of 3 to 52 months (mean follow-up, 22 months). Four patients (3.6%) required reoperation because of biological mitral valve failure at 5 to 8 years after tricuspid annuloplasty (mean period, 6.6 years). Twenty-three (62%) of 37 randomly selected patients evaluated by echocardiography and 14 (70%) of 20 patients evaluated by right ventriculography showed complete disappearance of tricuspid regurgitation after tricuspid annuloplasty in 1 to 18 months (mean period, 3.3 months). Seventy-seven (96%) of the survivors were in functional class I or II after tricuspid annuloplasty. The actuarial survival rule for the TAP series including early deaths was 85.8% ± 7.4% at 10 years and the actuarial rate of freedom from reoperation on the tricuspid valve was 96.7% ± 1.4%. Our surgical experience indicates that the De Vega's annuloplasty, as the method of first choice, is a simple, reliable procedure and resulted in improvement in 90% of patients with moderate to severe functional tricuspid regurgitation.

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