Sohail Aslam, Nasir Islam Khattak, Abdul Malik and Riaz Anwar Khan
Lady Reading Hospital, Pakistan
Posters & Accepted Abstracts: J Clin Exp Cardiolog
Tricuspid regurgitation which often accompanies valvular heart lesions is mostly functional rather than organic and associated with pulmonary hypertension or right ventricular dilatation. Retrospective study from January 2004 to 2010 was conducted in patients with isolated mitral valve lesions with pulmonary hypertension associated with moderate to severe tricuspid regurgitation. Multiple valvular lesions, mitral valve lesions with coronary artery disease, non-rheumatic and congenital mitral lesions were excluded. Pre and postoperative NYHA status and right ventricular pressure were analyzed and compared. Result analyzed by SPSS version 17, P value<0.05 was considered to be significant. Total of 264 patients included having mean age 25.8 years, females were 67.80%. Mean right ventricular pressure was 69 mm Hg (48-101 mmHg). Severe TR was in 88% cases and 98% patients were in NYHA class 111. Post operatively five years follow up was done. 68% patients were in NYHA class 1 and 32% patients in class 2. Mean right ventricular pressure was 22 mm Hg. No TR in 88% patients and mild TR in 11% patients were found. FTR in isolated mitral valve disease (rheumatic) repaired by De Vega�s technique carries satisfactory results. It is safe, effective and economical procedure in setup of a developing country.
Email: aslamsohail@hotmail.com
