Surgical Correction of Tricuspid Component of Patients with Multi-Vessel Heartdefect.

Abstract

The analysis of results of surgical correction of 326 (8%) patients with tricuspid pathology in rheumatic multi-valve heart defects. The age of our patients ranged from 12 to 74 years (mean 36.7 + 9.4). Women were 220 (67.5%), while men - 106 (32.5%). According to the degree of circulatory disorders, patients were divided according to the classification of chronic heart failure (CHF) in NYHA, where in functional class III were assigned 24 (7.4%), and to IY functional class NYHA - 302 (92.6%) patients. The clinic is the most commonly used plastic fibrous ring by De Vega. Of the 262 (80.5%) operated by the method of De Vega, at 26.9% after correction of regurgitation on tricuspid valve (TC) virtually disappeared, at 62.8% - regurgitation decreased from a low of 1 degree, and the remaining 10.3% were operated last was reduced to 2 (moderate) degree. In 8 (2.46%) cases of infective endocarditis was made "open" correction - prosthetics TC biological prosthesis. Known methods of creating a bicuspid tricuspid valve - Kay Reed Kay Boyd used in 13.4% of cases, but in recent years because of the low efficiency of data communication techniques greater preference for annuloplasty by De Vega.