PMID- 24011799
OWN - NLM
STAT- MEDLINE
DCOM- 20140121
LR  - 20161128
IS  - 1916-7075 (Electronic)
IS  - 0828-282X (Linking)
VI  - 29
IP  - 12
DP  - 2013 Dec
TI  - Midterm clinical and echocardiographic results of a modified De Vega tricuspid 
      annuloplasty for repair of functional tricuspid regurgitation.
PG  - 1637-42
LID - S0828-282X(13)00404-2 [pii]
LID - 10.1016/j.cjca.2013.05.015 [doi]
AB  - BACKGROUND: There is an ongoing debate whether the tricuspid valve (TV) should be 
      repaired with a suture annuloplasty or a prosthetic ring. METHODS: Two hundred 
      thirty-seven patients underwent a modified De Vega tricuspid annuloplasty for 
      tricuspid regurgitation (TR) as part of the cardiac surgical procedure. Follow-up 
      information was obtained for 230 patients, with a mean follow-up time of 6.5 +/- 
      3.2 years. Analysis is based on Doppler echocardiographic evaluation. Survival 
      and development of recurrent TR were evaluated by Kaplan-Meier analysis. Risk 
      factors for recurrent TR were identified and analyzed by multivariable ordinal 
      longitudinal methods. RESULTS: No deaths had occurred at the time of follow-up. 
      Early predischarge echocardiography quantified TR as 1+ in 227 patients (95.8%), 
      2+ in 8 patients (3.4%), and 3+ in 2 patients (0.8%). No patients had TR 
      classified as 4+. The mean TR grade decreased from 3.4 +/- 0.2 preoperatively to 
      1.6 +/- 0.6 on predischarge echocardiography (P < 0.01). During follow-up, the most 
      recent echocardiogram showed TR was 1+ in 88.3% of patients, 2+ in 10.4% of 
      patients, 3+ in 1.3% of patients, and 4+ in 0% of patients, with a small increase 
      in mean TR compared with predischarge echocardiography. No patient required TV 
      reoperation. Risk factor analysis revealed that higher preoperative regurgitation 
      grade, higher systolic pulmonary arterial pressure (sPAP), and preoperative New 
      York Heart Association (NYHA) grade IV were independent predictors of recurrent 
      TR. Five-year actuarial freedom from congestive heart failure (CHF) and late TR 
      were 86.7% +/- 2.4% and 88.5% +/- 0.2%, respectively. CONCLUSIONS: A modified De Vega 
      suture annuloplasty was effective at eliminating TR and producing right 
      ventricular (RV) reverse remodelling at 5-year follow-up, although TR tends to 
      increase with time.
CI  - Copyright (c) 2013 Canadian Cardiovascular Society. Published by Elsevier Inc. All 
      rights reserved.
FAU - Huang, Xinsheng
AU  - Huang X
AD  - Cardiac Surgery Department, Beijing Anzhen Hospital, Capital Medical University, 
      Beijing, China.
FAU - Gu, Chengxiong
AU  - Gu C
FAU - Li, Bo
AU  - Li B
FAU - Li, Jingxing
AU  - Li J
FAU - Yang, Junfeng
AU  - Yang J
FAU - Wei, Hua
AU  - Wei H
FAU - Yu, Yang
AU  - Yu Y
LA  - eng
PT  - Journal Article
DEP - 20130906
PL  - England
TA  - Can J Cardiol
JT  - The Canadian journal of cardiology
JID - 8510280
SB  - IM
MH  - Aged
MH  - Cardiac Valve Annuloplasty/*methods
MH  - China
MH  - Comorbidity
MH  - *Echocardiography
MH  - Female
MH  - Heart Failure/diagnostic imaging/mortality/surgery
MH  - Humans
MH  - Kaplan-Meier Estimate
MH  - Longitudinal Studies
MH  - Male
MH  - Middle Aged
MH  - Patient Outcome Assessment
MH  - Postoperative Complications/diagnostic imaging/etiology/mortality
MH  - Recurrence
MH  - Tricuspid Valve Insufficiency/*diagnostic imaging/*surgery
EDAT- 2013/09/10 06:00
MHDA- 2014/01/22 06:00
CRDT- 2013/09/10 06:00
PHST- 2013/03/08 00:00 [received]
PHST- 2013/05/18 00:00 [revised]
PHST- 2013/05/24 00:00 [accepted]
PHST- 2013/09/10 06:00 [entrez]
PHST- 2013/09/10 06:00 [pubmed]
PHST- 2014/01/22 06:00 [medline]
AID - S0828-282X(13)00404-2 [pii]
AID - 10.1016/j.cjca.2013.05.015 [doi]
PST - ppublish
SO  - Can J Cardiol. 2013 Dec;29(12):1637-42. doi: 10.1016/j.cjca.2013.05.015. Epub 
      2013 Sep 6.