Document Detail


Outcomes of De Vega versus biodegradable ring annuloplasty in the surgical treatment of tricuspid regurgitation (mid-term results).
MedLine Citation:
PMID:  20719725     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The aim of this study was to compare De Vega semicircular annuloplasty and a new biodegradable ring annuloplasty technique in patients requiring surgical intervention for tricuspid valve disease with concomitant disease of the mitral valve.
METHODS: Between January 2004 and May 2008, 129 consecutive patients underwent annuloplasty procedures to correct tricuspid valve regurgitation during a concomitant mitral valve operation requiring replacement. Additionally, 24 patients underwent aortic valve replacement (AVR), 11 underwent coronary artery bypass grafting (CABG), 5 underwent AVR plus CABG, 3 underwent mitral valve replacement plus atrial septal defect (ASD) closure, and 2 underwent ASD closure. The patients in this study were assigned to 2 groups: Kalangos ring annuloplasty was performed in 67 patients (group 1), and De Vega semicircular annuloplasty was performed in the remaining 62 patients (group 2).
RESULTS: Both tricuspid valve repair techniques produced a low rate of complications; however, the number of patients who developed residual tricuspid regurgitation was significantly lower in group 1.
CONCLUSION: The biodegradable ring annuloplasty technique may be used easily and safely in moderate and severe cases of tricuspid regurgitation; however, larger clinical series are necessary to confirm our promising results.
Authors:
Halil Basel; Unal Aydin; Hakan Kutlu; Aysenur Dostbil; Melike Karadag; Dolunay Odabasi; Cemalettin Aydin
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The heart surgery forum     Volume:  13     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-19     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E233-7     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Van Research and Training Hospital, Van, Turkey. hbasel@mynet.com
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MeSH Terms
Descriptor/Qualifier:
Absorbable Implants*
Adult
Aortic Valve / surgery
Blood Pressure
Cardiac Valve Annuloplasty / adverse effects,  methods*
Coronary Artery Bypass
Echocardiography
Female
Follow-Up Studies
Heart / physiopathology
Heart Septal Defects, Atrial / complications,  surgery
Heart Valve Prosthesis Implantation* / adverse effects
Humans
Male
Middle Aged
Mitral Valve Insufficiency / complications*,  physiopathology,  surgery*,  ultrasonography
Pulmonary Artery / physiopathology
Recurrence
Stroke Volume
Treatment Outcome
Tricuspid Valve Insufficiency / complications*,  physiopathology,  surgery*,  ultrasonography
Ventricular Function, Right
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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