Skip to main content

Advertisement

SpringerLink
Log in

Tricuspid annuloplasty: A modified technique

  • Technical Options
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Fifty patients with rheumatic multivalvular disease underwent a modified form of semicircular tricuspid annuloplasty for acquired tricuspid insufficiency along with mitral or mitral and aortic valve procedures. The modification allowed simulataneous tying of annuloplasty sutures and digital assessment of the tricuspid regurgitation on unsupported normothermic beating heart. Early postoperative assessment showed 8 (17.3%) patients with no regurgitation, 36 (78.2%) with trivials to mild regurgitation and 2 (4.3%) with moderate regurgitation. There were 4 (8%) early deaths not related to the tricuspid lesion. Over a follow-up period of 6–84 (mean 38) months with around 70 per cent compliance, only three patients showed progression of tricuspid regurgitation. In all other patients the tricuspid regurgitation remained controlled. The study suggests that the modified annuloplasty technique used is an efficient way to achieve predictable annuloplasty results.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Kay JH, Campagna GM, Tusji HK. Surgical treatment of tricuspid insufficiency.Ann Surg 1965;162: 53–8

    Article  PubMed  CAS  Google Scholar 

  2. Haerten K, Selpel L, Loogen F, Herzer J. Haemodynamic studies after DeVega's tricuspid annuloplasty.Circulation 1978;58: (suppl 1) 28–32

    Google Scholar 

  3. Boyd AD, Engelman RM, Isom OW, Reed GE, Spencer FC. Tricuspid Annuloplasty.J Thorac Cardiovasc Surg 1974:68: 344–51.

    PubMed  CAS  Google Scholar 

  4. Rabago G, Devega NG, Castillon L,et al.. The new DeVega's Technique in trisupid annuloplasty.J Cardiovasc Surg 1980;18: 231–8

    Google Scholar 

  5. Meyer J, Bircks W. Predictable correction of tricuspid insufficiency by semicircular annuloplasty.Ann Thorac Surg 1976;23: 574–5

    Article  Google Scholar 

  6. Kay JH. Surgical treatment of tricuspid regurgitation.Ann Thorac Surg 1992;53: 1132–3

    Article  PubMed  CAS  Google Scholar 

  7. Reed GE, Boyd AD, Spencer FC, Engelman RM, Isom OW, Cunningham JN. Operative management of tricuspid regurgitation.Circulation 1976;54: (supp III) 96–8

    Google Scholar 

  8. Minale C, Lambertz H, Nickol S, Gerich N, Messmer BJ. Selective annuloplasty of the tricuspid valve. Two years experience.J Thorac Cardiovasc Surg 1990;99: 846–51

    PubMed  CAS  Google Scholar 

  9. Duran CMG, Pomar JL, Gluseppe C. A flexible ring for atrioventricular heart valve reconstruction.J Cardiovas Surg 1978;19: 417–20.

    CAS  Google Scholar 

  10. Carpentier A, Deloche A, Dauptain J,et al. A new reconstructive operation for correction of mitral and tricuspid insufficiency.J Thorac Cardiovasc Surg 1971;61: 1–13

    PubMed  CAS  Google Scholar 

  11. Carpentier A., Deloche A, Hananla G,et al. Surgical management of acquired tricuspid valve disease.J Thorac Cardiovasc Surg 1974;67: 53–65

    PubMed  CAS  Google Scholar 

  12. Pluth JR, Ellis FH. Tricuspid insufficiency in patients undergoing mitral valve replacement.J Thorac Cardiovasc Surg 1969;58: 484–91

    Google Scholar 

  13. Starr A, Herr R, Wood J. Tricuspid valve replacement of acquired valve disease.Surg Gynecol Obstr 1966;122: 1295–1310

    CAS  Google Scholar 

  14. Lilehel CW, Gannon PG, Levy MJ, Varco RL, Wang Y. Valve replacement for tricuspid stenois or insufficlency associated with mitral valvular disease.Circulation 1966;33: 34–42

    Google Scholar 

  15. Baragan J, Escher J, Coblence B, Mehrez R, Lenegre J. Positive systolic venous pulses after replacement of the tricuspid valve by Starr-Edwared prosthesis.Am J Cardiol 1969;23: 785–79

    Article  PubMed  CAS  Google Scholar 

  16. Grondin P, Lepage G, Gastonguay Y, Meere C. The tricuspid valve: A surgical challenge.J Thorac Cardiovasc Surg 1967;53: 7–20

    PubMed  CAS  Google Scholar 

  17. Breyer RH, McClenathan JH, Michalls LL, Mcintosh CL, Morrow AG. Tricuspid Regurgitation. A comparison of nonoperative management, tricuspid annuloplastys and tricuspid replacemen.J Thorac Cardiovasc Surg 1976;72: 867–74.

    PubMed  CAS  Google Scholar 

  18. Yada I, Tau K, Shimono T,et al. Preoperative evaluation and surgical treatment for tricuspid regurgitation associated with acquired valvular heart disease.J Cardiovasc Surg 1990;31: 711–17

    Google Scholar 

  19. Grondin P, Limet R, Bescos L, Delcan JL and Rivera R. Carpentier's annulus and DeVega's annuloplastys. The end of tricuspid challenge.J Thorac Cardiovasc Surg 1975;70: 852–61

    PubMed  CAS  Google Scholar 

  20. Paulis DR, Bobbio M, Otfino G,et al. The DeVega tricuspid annuloplasty.J Cardiovasc Surg 1990;31: 512–7

    Google Scholar 

  21. Imamura E, Ohtekl H, Koyanagl H. An improved Devega tricuspid annuloplasty.Ann Thorac Surg. 1982;34: 710–13

    Article  PubMed  CAS  Google Scholar 

  22. Antunes MJ, Girdwood RW. Tricuspid annuloplasty: A modified technique.Ann Thorac Surg 1983;35: 676–78

    Article  PubMed  CAS  Google Scholar 

  23. Arai T, Kazuhiro H, Harlkoshi S, Matsui M, Suzuki S. Modification of DeVega Tricuspid Annuloplasty.J Thorac Cardiovasc Surg 1991;120: 320–1

    Google Scholar 

  24. Alonso-Lej P. Adjustable annuloplasty for tricuspid insufficiency.Ann Thorac Surg 1988;46: 368–9

    Article  PubMed  CAS  Google Scholar 

  25. Kurlansky P, Rose EA, Malm JR. Adjustable annuloplasty for tricuspid insufficiency.Ann Thorac Surg 1987;44 404–6

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiothoracic Surgery, G.B. Pant Hospital, 110 002, New Delhi, India

    B. K. Gupta (Professor of Cardiothoracic Surgery, G.B. Pant Hospital, New Delhi), M. Akhter, Rakesh Gupta, Suvira Gupta, M. Nigam, S. K. Khanna, D. K. Satsangi, D. K. Tempe & A. S. Tomar

  2. Department of Radiology and Anaesthesiology, G.B. Pant Hospital, 110002, New Delhi, India

    B. K. Gupta (Professor of Cardiothoracic Surgery, G.B. Pant Hospital, New Delhi), M. Akhter, Rakesh Gupta, Suvira Gupta, M. Nigam, S. K. Khanna, D. K. Satsangi, D. K. Tempe & A. S. Tomar

Authors
  1. B. K. Gupta
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Akhter
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Rakesh Gupta
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Suvira Gupta
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. M. Nigam
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. S. K. Khanna
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. D. K. Satsangi
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. D. K. Tempe
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. A. S. Tomar
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gupta, B.K., Akhter, M., Gupta, R. et al. Tricuspid annuloplasty: A modified technique. Indian J Thorac Cardiovasc Surg 9, 35–38 (1993). https://doi.org/10.1007/BF02665335

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02665335

Keywords

Search

Navigation