This study aims to compare whether De Vega's Suture annuloplasty is equally effective in reducing the progression of Functional Tricuspid regurgitation as that claimed for Ring annuloplasty in Rheumatic Heart Disease patients with concurrent Mitral valve replacement.
Functional Tricuspid regurgitation (FTR) occurs due to annular dilatation in association with left sided valve disease and is more commonly seen than primary pathology in patients with Rheumatic mitral valve disease. FTR occurs due to increased right ventricle after load that leads to either dilatation or geometric deformation of Tricuspid annulus. If left untreated, FTR may worsen and increase morbidity and mortality.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
86
Patients will undergo repair of tricuspid regurgitation
Shahid Gangalal National Heart Centre
Kathmandu, Bagmati, Nepal
RECRUITINGImprovement in severity of FTR
Definitions: 1. Improvement in FTR: refers to Mild or No TR 2. Tricuspid regurgitation is graded as mild, moderate, and severe based on regurgitant jet area i. \<5cm2 = Mild ii. 6-10cm2 = Moderate iii. \>10cm2 = Severe
Time frame: within 3 months
Mortality
Mortality: Mortality within hospital stay or 3 months postoperative.
Time frame: up to 3 months of intervention
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