Assess the short, medium and long-term efficiency of the De Vega tricuspid plasty. The study was retrospective (7 years and 11 months) and included all patients operated for valve diseases associated with functional tricuspid regurgitation (TR). The Epi Info software was used for descriptive analysis and logistic regression. There was a total of 58 patients with an average age of 26 years. In preoperative transthoracic echocardiography (TTE), 44.6% of patients had stage III TR. After De Vega plasty, the immediate postoperative TTE showed no tricuspid leak in 23.5% of patients, a minimal leak in 62% of patients and a moderate leak in 14.5% of patients. After a 41-month follow-up, 25% of living patients had no more TR and 30.56% had minimal insufficiency. Moderate insufficiency persisted in 30.56% of cases, and severe in 13.89% of cases. All patients with severe long-term TR had hemodynamic instability during reanimation (p = 0.002). De Vega plasty is a low-cost technique that does not extend the surgical time. It is adapted to the functional tricuspid regurgitation surgery in disadvantaged areas.
| Published in | International Journal of Cardiovascular and Thoracic Surgery (Volume 3, Issue 2) |
| DOI | 10.11648/j.ijcts.20170302.11 |
| Page(s) | 5-8 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
De Vega Plasty, Tricuspid Regurgitation, Cardiac Surgery
| [1] | Kuwaki K. Morishita K. Tsukamoto M. Abe T. Tricuspid Valve Surgery for functional tricuspid valve regurgitation associated with left-sided valvular disease. European Journal of Cardio-Thoracic Surgery 2001; 20: 577-82. |
| [2] | Yangni-Angate K. H., Ayegnon K. G., Meneas C. et al. Insuffisance tricuspidienne négligée au cours de la chirurgie valvulaire mitrale et/ou mitro-aortique. Ann. Afr. Chir. Thor. Cardiovasc. 2013; 8: 29–40. |
| [3] | Rogers J. H., Bolling S. P. The tricuspid Valve: current perspective an evolving management of tricuspid regurgitation. Circulation 2009; 119: 2718-25. |
| [4] | Kangah M. K., Souaga K. A, Amani K. A. et al. Insuffisance mitrale rhumatismale de l’enfant: aspects anatomiques et chirurgicaux à propos de 84 cas. Ann. Afr. Chir. Thor. Cardiovasc 2009; 13: 11-14. |
| [5] | Garg SK, Gosh PK, Misra B. Triple valve surgery in rheumatic heart disease cardiologie tropicale 1998, 24: 39-45. |
| [6] | Morishita A, Kitamura M et al. Long-term results after De Vega’s tricuspidannuloplasty. Jour Cardiovasc Surg 2002; 43: 773-7. |
| [7] | Brugger J. J., Egloff L., Rothlin M., Kugelmeier J, Turina M, Senning. Tricuspid annuloplasty: results and complication. The Thorac Cardiovasc Surg 1982; 30: 284-87. |
| [8] | Ghodbane W., Bey. M. Lejmi M. et al. La Chirurgie de l’insuffisance Tricuspide: quelles leçons tirer de notre enquête ? Tunisie Médicale 2012; 16: 200-6. |
| [9] | Holper K., Hachnel J. C., Augustin N. et al. Surgery for tricuspid insufficiency: long-term follow up after De Vega annuloplasty. Thorac. Cardiovasc. Surg. 1993; 41: 1-8. |
| [10] | Gariboldi V. Trousse. D et al. Chirurgie valvulaire après 75ans: évaluation desfacteurs de risque de mortalité hospitalière. Chir thorac card vasc. 2008; 12: 106-13. |
| [11] | Khokisandi M., Banersee A., Singh H. et al. To a tricuspid annuloplasty ring significantly better than a De Vega’s annuloplasty stitch when repairing severe tricuspid regurgitation. Interact Cardiovasc Thorac Surg 2012; 15: 129–35. |
| [12] | Tang G. H. L., David E. T., Singh S. K. et al. Tricuspid Valve Repair with an annuloplasty ring results in improves long-term out comes. Circulation 2006; 114: 1577-81. |
APA Style
Ciss Amadou Gabriel, Gandji Wilfrid, Diop Momar Sokhna, Ba Papa Salmane, Leye Mohamed, et al. (2017). Results of the De Vega Plasty in Tricuspid Insufficiencies Secondary to Mitral and Aortic Rheumatic Valve Diseases: Study of 58 Cases. International Journal of Cardiovascular and Thoracic Surgery, 3(2), 5-8. https://doi.org/10.11648/j.ijcts.20170302.11
ACS Style
Ciss Amadou Gabriel; Gandji Wilfrid; Diop Momar Sokhna; Ba Papa Salmane; Leye Mohamed, et al. Results of the De Vega Plasty in Tricuspid Insufficiencies Secondary to Mitral and Aortic Rheumatic Valve Diseases: Study of 58 Cases. Int. J. Cardiovasc. Thorac. Surg. 2017, 3(2), 5-8. doi: 10.11648/j.ijcts.20170302.11
AMA Style
Ciss Amadou Gabriel, Gandji Wilfrid, Diop Momar Sokhna, Ba Papa Salmane, Leye Mohamed, et al. Results of the De Vega Plasty in Tricuspid Insufficiencies Secondary to Mitral and Aortic Rheumatic Valve Diseases: Study of 58 Cases. Int J Cardiovasc Thorac Surg. 2017;3(2):5-8. doi: 10.11648/j.ijcts.20170302.11
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Download@article{10.11648/j.ijcts.20170302.11,
author = {Ciss Amadou Gabriel and Gandji Wilfrid and Diop Momar Sokhna and Ba Papa Salmane and Leye Mohamed and Diatta Souleymane and Gaye Magaye and Sene Etienne Birame and Dieng Papa Adama and Ndiaye Assane and Ndiaye Mouhamadou},
title = {Results of the De Vega Plasty in Tricuspid Insufficiencies Secondary to Mitral and Aortic Rheumatic Valve Diseases: Study of 58 Cases},
journal = {International Journal of Cardiovascular and Thoracic Surgery},
volume = {3},
number = {2},
pages = {5-8},
doi = {10.11648/j.ijcts.20170302.11},
url = {https://doi.org/10.11648/j.ijcts.20170302.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20170302.11},
abstract = {Assess the short, medium and long-term efficiency of the De Vega tricuspid plasty. The study was retrospective (7 years and 11 months) and included all patients operated for valve diseases associated with functional tricuspid regurgitation (TR). The Epi Info software was used for descriptive analysis and logistic regression. There was a total of 58 patients with an average age of 26 years. In preoperative transthoracic echocardiography (TTE), 44.6% of patients had stage III TR. After De Vega plasty, the immediate postoperative TTE showed no tricuspid leak in 23.5% of patients, a minimal leak in 62% of patients and a moderate leak in 14.5% of patients. After a 41-month follow-up, 25% of living patients had no more TR and 30.56% had minimal insufficiency. Moderate insufficiency persisted in 30.56% of cases, and severe in 13.89% of cases. All patients with severe long-term TR had hemodynamic instability during reanimation (p = 0.002). De Vega plasty is a low-cost technique that does not extend the surgical time. It is adapted to the functional tricuspid regurgitation surgery in disadvantaged areas.},
year = {2017}
}
TY - JOUR T1 - Results of the De Vega Plasty in Tricuspid Insufficiencies Secondary to Mitral and Aortic Rheumatic Valve Diseases: Study of 58 Cases AU - Ciss Amadou Gabriel AU - Gandji Wilfrid AU - Diop Momar Sokhna AU - Ba Papa Salmane AU - Leye Mohamed AU - Diatta Souleymane AU - Gaye Magaye AU - Sene Etienne Birame AU - Dieng Papa Adama AU - Ndiaye Assane AU - Ndiaye Mouhamadou Y1 - 2017/03/24 PY - 2017 N1 - https://doi.org/10.11648/j.ijcts.20170302.11 DO - 10.11648/j.ijcts.20170302.11 T2 - International Journal of Cardiovascular and Thoracic Surgery JF - International Journal of Cardiovascular and Thoracic Surgery JO - International Journal of Cardiovascular and Thoracic Surgery SP - 5 EP - 8 PB - Science Publishing Group SN - 2575-4882 UR - https://doi.org/10.11648/j.ijcts.20170302.11 AB - Assess the short, medium and long-term efficiency of the De Vega tricuspid plasty. The study was retrospective (7 years and 11 months) and included all patients operated for valve diseases associated with functional tricuspid regurgitation (TR). The Epi Info software was used for descriptive analysis and logistic regression. There was a total of 58 patients with an average age of 26 years. In preoperative transthoracic echocardiography (TTE), 44.6% of patients had stage III TR. After De Vega plasty, the immediate postoperative TTE showed no tricuspid leak in 23.5% of patients, a minimal leak in 62% of patients and a moderate leak in 14.5% of patients. After a 41-month follow-up, 25% of living patients had no more TR and 30.56% had minimal insufficiency. Moderate insufficiency persisted in 30.56% of cases, and severe in 13.89% of cases. All patients with severe long-term TR had hemodynamic instability during reanimation (p = 0.002). De Vega plasty is a low-cost technique that does not extend the surgical time. It is adapted to the functional tricuspid regurgitation surgery in disadvantaged areas. VL - 3 IS - 2 ER -
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