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Results of the De Vega Plasty in Tricuspid Insufficiencies Secondary to Mitral and Aortic Rheumatic Valve Diseases: Study of 58 Cases

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.

Auteur(s) : Ciss Amadou Gabriel1, *, Gandji Wilfrid1, Diop Momar Sokhna1, Ba Papa Salmane1, Leye Mohamed2, Diatta Souleymane1, Gaye Magaye1, Sene Etienne Birame3,
Pages : 5-8
Année de publication : 2017
Revue : International Journal of Cardiovascular and Thoracic Surgery
N° de volume : 3(2)
Type : Article
Mise en ligne par : CISS Amadou Gabriel