Comparison of De Vaga Versus Ring Annuloplasty in Patients with Moderate to Severe Tricuspid Regurgitation
Background: To compare outcome of Tricuspid
Regurgitation (TR) between De Vaga technique and
ring annuplasty in term of achieving adequate
pulmonary artery pressure (PAP) and functional
Methods: In this comparative study adult
patients(n=100) who underwent Mitral valve surgery
with Tricuspid repair were enrolled and divided into
two groups .Group A underwent MVR and TR repair
using DEVAGA Technique (n=50) and group B had
MVR with Tricuspid Repair Ring Annuloplasty
(n=50). In the De Vega annuloplasty technique, 2
pledgeted parallel running 4-0 polypropylene
stitches are placed at 3-4-mm intervals in a
semicircular manner from the postero-septal to the
antero-lateral commissure and tied. A valve gauge
appropriate to the body surface area was used to
determine the amount of anterior and posterior
Results: Females were predominant in this study.
The duration of surgery was found out to be 66.4
minutes in group A compared to 71.0 minutes in
group B(statistically not significant). Stay in the ICU
and overall hospital stay was also found similar in
both groups (p-value, 0.68). There was no statistically
significant difference in postoperative functional
capacity distribution (PAP) according to the surgical
technique (p-value, 0.19).
Conclusion: Devaga repair is as durable as
prosthetic ring annuloplasty with added benefits of
simple, cost effective and time saving technique.
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