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Adjustable annuloplasty for tricuspid insufficiency.
P Kurlansky1, E A Rose, J R Malm
1Department of Surgery, Columbia University College of Physicians and Surgeons, New York, NY 10032.
The Annals of Thoracic Surgery
|October 1, 1987
Summary
This study modified the de Vega technique for tricuspid annuloplasty, showing significant improvements in right-sided filling pressure and clinical status for patients with tricuspid insufficiency.
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery
- Surgical Techniques
Background:
- Tricuspid annuloplasty is a surgical procedure to treat tricuspid insufficiency.
- The de Vega technique uses synthetic sutures to reduce annulus size.
Purpose of the Study:
- To evaluate an adjustable modification of the de Vega suture annuloplasty technique.
- To assess the safety and efficacy of this modified technique in managing tricuspid insufficiency.
Main Methods:
- Retrospective review of 12 patients undergoing the modified de Vega annuloplasty.
- Follow-up duration ranged from 15 to 30 months.
- Assessment of right-sided filling pressures and clinical status.
Main Results:
- Ten of 12 patients survived the follow-up period.
- Survivors experienced an average 39% decrease in right-sided filling pressure.
- Clinical status significantly improved in surviving patients.
- Deaths were not attributed to persistent tricuspid insufficiency.
Conclusions:
- The adjustable de Vega annuloplasty is a reliable and effective surgical method.
- This technique offers a rapid and teachable approach for tricuspid insufficiency.
- The procedure demonstrates positive outcomes in reducing filling pressures and improving patient condition.