Comparison of De Vaga Versus Ring Annuloplasty in Patients with Moderate to Severe Tricuspid Regurgitation

  • javed Iqbal Rawalpindi Institute of Cardiology, Rawalpindi
  • Faridullah Khan Department of Cardiology, Pakistan Institute of Medical Sciences
  • Naveeda Javed
Keywords: Tricuspid regurgitation, Devaga, Ring annuplasty


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
annular constriction.
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.

How to Cite
Iqbal javed, Khan F, Javed N. Comparison of De Vaga Versus Ring Annuloplasty in Patients with Moderate to Severe Tricuspid Regurgitation. JRMC [Internet]. 2May2019 [cited 8May2021];23(1):8-1. Available from: