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Date Published: 02/11/2020
Abstract Views: 421
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DOI: https://doi.org/10.47972/vjcts.v2i.215
Issue
Vol. 2
Section
Research Article
How to Cite
Toan, H. Q. ., & Tuan, H. A. . (2020). Tricuspid annuloplasty in the rheumatic mitralvalve replacement. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 2, 14-21. https://doi.org/10.47972/vjcts.v2i.215

Tricuspid annuloplasty in the rheumatic mitralvalve replacement

Hoang Quoc Toan, Hoàng Anh Tuan

Main Article Content

Abstract

OBJECTIVE: Uncorrected secondary tricuspid regurgitation has serious long-term morbidity and mortality. We reviewed our experience with the bypass by PTFE band to bridge the righ fibrous trigone and tricuspid posterior annular bicuspidization for treatment of functional tricuspid regurgitation.
METHODS: From 12- 2010 to 12- 2011, 40 patients (mean age, 47,73 ± 4,17 years) underwent combined mitral valve replacement and tricuspid valve repair for rheumatic disease, the tricuspid annuloplasty for secondary tricuspid regurgitation with our method. Preoperatively,40 (100%) patients had moderate or severe tricuspid regurgitation. Pre and postoperative, NYHA and 2D transthoracic echocardiograms were assessed for tricuspid regurgitation. Follow-up time was 8±2 months.
RESULTS: At 8 months postoperatively, tricuspid regurgitation in patients treated by our method of annuloplasty was zero to mild in 30(75%), moderatein 9(22,5%), severe in 1(2,5%) of patients.No risk
factors of our technic.
CONCLUSIONS: Our bypass- annuloplasty were effective at eliminating tricuspid regurgitation at 8 monhts postoperatively. this annuloplasty is a simple, inexpensive option for addressing functional tricuspid regurgitation. All patients with moderate-to-severe functional tricuspid regurgitation should undergo tricuspid annuloplasty regardless the technique

Article Details

Keywords

NYHA: New York Heart Association; PTFE:Polytetrafluorethylene.

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