PMID- 8739932
OWN - NLM
STAT- MEDLINE
DCOM- 19961025
LR  - 20041117
IS  - 0355-9521 (Print)
IS  - 0355-9521 (Linking)
VI  - 85
IP  - 1
DP  - 1996
TI  - De Vega's annuloplasty for tricuspid regurgitation.
PG  - 40-3
AB  - A total of 337 patients underwent a mitral or combined mitral and aortic valve 
      operation at the Oulu University Hospital between 1986 and 1992. Of these, 30 
      (8.9%) patients had De Vega's semicircular annuloplasty performed because of 
      tricuspid regurgitation (TR) which was considered functional in nature. There 
      were five (16.6%) early and seven (23.3%) late deaths during the follow-up period 
      of 10 to 71 months. The preoperative mean New York Heart Association (NYHA) 
      functional class was 3.4, and at follow-up 13 (76.5%) of the survivors were in 
      NYHA CLass I or II. The actuarial survival rate was 37.6% at five years. All the 
      survivors were evaluated echocardiographically and the TR was considered mild in 
      56.3%, moderate in 25.0% and severe in 18.7% of the cases. Tricuspid annuloplasty 
      using De Vega's semicircular suture technique is a simple and effective procedure 
      in patients with mild to moderate regurgitation. In patients with massive 
      regurgitation, which is usually associated with a massively dilated tricuspid 
      annulus and pulmonary hypertension, annuloplasty should be reinforced using a 
      ring technique. Tricuspid valve replacement is hardly ever needed in the 
      treatment of functional tricuspid regurgitation.
FAU - Peltola, T
AU  - Peltola T
AD  - Department of Cardiothoracic Surgery, Oulu University Hospital, Finland.
FAU - Lepojarvi, M
AU  - Lepojarvi M
FAU - Ikaheimo, M
AU  - Ikaheimo M
FAU - Karkola, P
AU  - Karkola P
LA  - eng
PT  - Journal Article
PL  - Finland
TA  - Ann Chir Gynaecol
JT  - Annales chirurgiae et gynaecologiae
JID - 7609767
SB  - IM
MH  - Actuarial Analysis
MH  - Adult
MH  - Aged
MH  - Aortic Valve/surgery
MH  - Coronary Artery Bypass
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Valve Prosthesis
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/surgery
MH  - Postoperative Complications/mortality
MH  - Survival Rate
MH  - *Suture Techniques
MH  - Tricuspid Valve/*surgery
MH  - Tricuspid Valve Insufficiency/mortality/*surgery
EDAT- 1996/01/01 00:00
MHDA- 1996/01/01 00:01
CRDT- 1996/01/01 00:00
PHST- 1996/01/01 00:00 [pubmed]
PHST- 1996/01/01 00:01 [medline]
PHST- 1996/01/01 00:00 [entrez]
PST - ppublish
SO  - Ann Chir Gynaecol. 1996;85(1):40-3.