Tricuspid Annuloplasty: A Modified Technique

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Abstract

A modification of the de Vega semicircular annuloplasty for tricuspid regurgitation is presented. This technique has been used successfully in 48 patients since January, 1979.

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Cited by (50)

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    The RV is still spared maintaining its cone shape and systolic function with end-diastolic RV eccentricity index ≤2. [14] Any modified De Vega annuloplasties, in particular those described by Antunes, [22] Revuelta, [23] and Sarraj [24] could be enough to deal with TR and restore normal function. [25] However, a ring tricuspid annuloplasty is likely indicated in the presence of severe PHT.

  • Concomitant Tricuspid Valve Repair During Mitral Valve Repair: An Analysis of Techniques and Outcomes

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    Pericardial pledgets can be used for patients with endocarditis in whom it is prudent to reduce the amount of foreign material. If the tissue is thin, an additional single pericardial pledget in the midpoint of the posterior leaflet or multiple Teflon pledgets buttressed to each bite will help prevent suture dehiscence.68 This technique is more widely used around the world because of its inexpensive nature and the extensive experience with it.

  • Tricuspid valve repair with Dacron band versus DeVega or segmental annuloplasty. Hospital outcome and short term results

    2017, Egyptian Heart Journal
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    All these findings suggest that an annuloplasty band or ring is recommended in patients undergoing TV repair, particularly in those with more severe TR, to avoid future recurrence as compared to merely suture based techniques. However, whether segmental annuloplasty is better than or equal to dacron band repair on long-term results is unclear because the former technique has been reported to lower the risk of suture dehiscence and recurrent TR.33 Nevertheless, we expected to find a marked benefit of tricuspid annuloplasty band and our results have prompted a change in surgical practice at our institution.

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