Mid-term and Long-term Outcomes of Posterior Plication Annuloplasty (Modified Davila Annuloplasty) for Functional Tricuspid Regurgitation.
- Author:
Mi Kyung LEE
1
;
Jong Hun KIM
;
Min Ho KIM
;
Jung Ku JO
;
Jong Bum CHOI
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Tricuspid valve;
Tricuspid valve insufficiency;
Outcome assessment;
Tricuspid valve, repair
- MeSH:
Adult;
Aortic Valve;
Dilatation;
Female;
Follow-Up Studies;
Humans;
Mitral Valve;
Tricuspid Valve;
Tricuspid Valve Insufficiency
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2008;41(5):580-585
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Many types of tricuspid annuloplasty are used in surgical correction of functional tricuspid regurgitation (FTR). We evaluated the mid-term and long-term outcomes in patients treated with a posterior annular plication technique (a modified Davila technique) for FTR. MATERIAL AND METHOD: Between January 1991 and August 2006, 58 adult patients (male, 22; female, 36) with FTR of grade 2/4 or more or with tricuspid annular dilatation of more than 5.0 cm in diameter, even with an FTR of less than grade 2, had received a posterior annular placation. Preoperatively, 26 patients (44.8%) had a grade 3 or more FTR. All patients had received a mitral valve replacement, and 20 (34.5%) had concomitant aortic valve replacement. RESULT: During the mean follow-up period of 101.4+/-51.6 months, FTR disappeared or remained trivial in 28 patients (49.1%), was grade 2~3 (> or =grade 2 and
