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Ann Thorac Surg 1993;55:482-485
© 1993 The Society of Thoracic Surgeons

Articles

De Vega's semicircular annuloplasty for tricuspid valve regurgitation

Jeng Wei, MD*, Chung-Yi Chang, MD, Fan-Yen Lee, MD, Ween-Yuang Lai, MD

Divisions of Cardiovascular Surgery and Cardiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China

Accepted for publication June 2, 1992.

* Address reprint requests to Dr Wei, Department of Surgery, Tri-Service General Hospital, 622 Ting-Chow Road, Taipei, 10713, Taiwan, Republic of China.

Moderate to severe functional tricuspid regurgitation was found in 26% of cardiac surgical patients with mitral or aortic valvular disease at Tri-Service General Hospital in Taiwan. Almost all patients were able to receive de Vega's annuloplasties. After a mean follow-up period of 20 months, none of the 63 patients had moderate or severe tricuspid regurgitation. There was no heart block or right atrial thrombosis; the single late death was not related to the heart disease. De Vega's tricuspid annuloplasty is considered to be a safe, effective, and durable procedure in the treatment of functional tricuspid regurgitation. Compared with tricuspid valve replacement and other types of annuloplasty, the de Vega is the first choice here.




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