Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiothoracic Surgery

Objective: In this study we reviewed early postoperative outcome De Vega repair versus tricuspid posterior annular bicuspidization versus segmental annuloplasty for treatment of functional tricuspid regurgitation especially recurrence. Patients and method: This was a prospective non-randomized controlled study of thirty patients with secondary functional tricuspid regurgitation who underwent corrective surgery at Cairo University Hospitals. Thirty patients were classified into three groups, in group A; 10 patients underwent De Vega repair, in group B; 10 patients underwent suture bicuspidization, in group C; 10 patients underwent segmental annuloplasty. Preoperative, operative and postoperative data were collected and analyzed to compare between the results of the three techniques of TV repair. Results: There was no statistically significant difference as regards preoperative medical history, clinical assessment, and investigations including echocardiography. There was no statistically significant difference between the outcome in the three groups as regards improvement of clinical manifestation and post operative echocardiography studies Conclusion: Our results showed that different suture annuloplasty methods for repair of FTR repair have good results regarding postoperative early recurrence with viii statistically insignificant difference among De Vega repair, suture bicuspidization, and segmental annuloplasty technique. Suture annuloplasty techniques, including the techniques performed in the three groups are simple and reliable procedure in the management of tricuspid valve regurgitation

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