Do Xuan Hai, Hoang Anh Tuan, Mai Van Vien, Nguyen Thi Hoa
Abstract: Introduction: The result of tricuspid valve repair in patients with mitral valve replacement due to rheumatic heart disease is very difficult to predict. From AHA and ESC guidelines, we use PTFE strips in tricuspid valve repair at the hospital Methods: Modified tricuspid valve in mitral valve replacement surgery in patients with or without tricuspid valve on ultrasound but valve diameter > 35 mm (determined on ultrasound before surgery and measuring the diameter of ring valve during surgery) Result: The average age is 48.1 ± 9.2, the tricuspid dilatation and valve diameter> 35 mm, the rate of moderate-severe open tricuspid valve before surgery was 65.6 %. Tricuspid regurgitation after surgery in the non-corrected tricuspid group was 10.6 %, the corrected group was 13.3 %, Postoperative follow-up showed an increase in tricuspid regurgitation in the unrepaired group, closely related to an increase in NYHA postoperative. Conclusion: The innovative method of using PTFE strips in fixing long-track tricuspid valves shows good results.
Keywords: Triscupid regurgitation, Mitral valve replacement