Background: Tricuspid valve disease frequently accompanies left side valve disease. Surgical correction of significant functional TR at the time of left side valve surgery is recommended. The current study was undertakento assess the impact of ring annuloplasty and De Vega annuloplasty techniques in functional and primary significant TR in a predominantly rheumatic population. Methods: Between May 2012 to November 2018, a total 92 patients underwent surgery for functional and primary tricuspid valve disease. Retrospective data analysis was done. The patient selection criteria were as per the institutional protocol (for all primary and functional severe TR and moderate TR with Tricuspid Index > 21mm/m2) based on preoperative TTE (Trans-thoracic Echocardiography) findings and the type of procedure was the surgeon’s decision on table. Techniques routinely involved in the repair procedures included tricuspid prosthetic ring Annuloplasty (CARPENTIER EDWARD) and De Vega suture annuloplasty. Postoperatively all the patient had routine TTE before hospital discharge (considered as immediate post op period). Follow up was present post-operatively in the form of a TTE and clinical at the time of data collection for thisstudy. Redosurgical tricuspid valve replacement requirement in failure of devegas repair. Results: Significant difference was observed in residual significant TR when Ring Annuloplasty was compared to De Vega repair. There was improvement in NYHA class status after ring ,but after De Vega annuloplasty patient were in NYHA class II to III , and 8 patient underwent redo tricuspid valve replacement. Conclusions: Present study shows that the techniques of TV repair specially De Vegas repair should be rethinked when applied to functionally and primary significant TR in a pre-dominantly rheumatic population.
