Ain Shams Experience in Tricuspid Valve Intervention in Mitral Valve Replacement Cases

Abstract

unctional tricuspid regurgitation (TR) is commonly associated with mitral valve (MV) diseases, and the presence of significant TR is reported to be an indicator of poor prognosis after the surgical correction of MV diseases. Concomitant tricuspid valve (TV) repair or replacement at the time of MV surgery has been recommended in patients with severe functional TR to improve long-term clinical outcomes. To compare the early and late outcomes for patients undergoing TV repair with De Vega annuloplasty, Kay suture, ring annuloplasty and TV replacement on measures of intra-operative data, ICU complications and outcomes regarding symptoms, signs and Echo, early and late.. This is a retrospective study that was done at Ain Shams University Hospital Cardiothoracic Surgery Department over a period of one year on 50 patients who underwent tricuspid valve intervention during mitral valve replacement. In our study, there was no statistical significance in ICU and hospital length of stay between the four groups. The degree of dyspnea was improved when compared to preoperative data, with no significant difference between the three groups (De vega, Kay suture, and Ring annuloplasty).