Functional Tricuspid Regurgitation
Conditions
Keywords
Ring Annuloplasty, Suture Annuloplasty, Functional Tricuspid Regurgitation
Brief summary
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.
Detailed description
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.
Interventions
Patients will undergo repair of tricuspid regurgitation
Sponsors
Study design
Eligibility
Inclusion criteria
* The participants will be all patients between 15 to 75 years of age group diagnosed as a case of Rheumatic Mitral Valve disease with moderate to severe functional Tricuspid regurgitation.
Exclusion criteria
* Patient with organic Tricuspid Valve (TV) lesion diagnosed in Echocardiography * Patient with FTR requiring Mitral Valve repair * Patient with FTR requiring concomitant aortic valve replacement * Patient with FTR secondary to pathology other than Mitral valve disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improvement in severity of FTR | within 3 months | 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 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | up to 3 months of intervention | Mortality: Mortality within hospital stay or 3 months postoperative. |
Countries
Nepal