International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 6, Issue 8 (2020)

Tricuspid valve repair by Devega annuloplasty versus ring annuloplasty in patient with functional TR: A comparative analysis


Praveen Singhal, Rajkumar Yadav, Ram Gopal Yadav, Ramswaroop Sain

Aim: To analyse the efficacy of Devega Annuloplasty Versus Ring Annuloplasty in Tricuspid Valve Repair among patient’s with Functional TR. Material and Method: This retrospective study analyzed the medical records of 45 patients (15 underwent ring annuloplasty: Group 1, 30 underwent De Vega annuloplasty: Group 2) who underwent tricuspid valve annuloplasty for significant secondary tricuspid regurgitation and dilatation of right sided cardiac chamber due to left sided valve disease. Intra operative Transesophageal Echocardiography (TEE) and saline infusion tests revealed no more than mild TR. Postoperatively all the patients had routine TTE before hospital discharge (considered as immediate post op period). The recorded patients were followed up till 1 year post-operatively (in the form of another TTE and clinical data sheet) at the time of data collection for this study. Results: Cardiopulmonary bypass time (minutes) was comparatively more in group 1 as compared to group 2 with statistically significant difference as p<0.05. Severe TR was reported among 6.7% and 20% of the subjects in group 1 and 2 respectively with statistically significant difference as p<0.01. Overall mortality was significantly high in group 2 (16.7%) as compared to group 1 (6.7%). Conclusion: It can be concluded from the results of the present study that reconstruction of the tricuspid valve with the Annuloplasty ring is highly recommended.
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