European Journal of Cardiovascular Medicine

If tricuspid regurgitation (primary and secondary) is left untreated, it will be associated with significant complications and death, even if left ventricular dysfunctions are corrected, TR does not decrease in many cases. Since many studies have not been conducted in this area, we decided to evaluate the results of tricuspid repair. In this retrospective study conducted since 2006 to 2011, 448 patients undergoing tricuspid surgery with different methods with or without surgery were studied. Statistical analysis was performed by Friedman, Fisher exact and Pearson chi-square methods. In the Mod and Severe RV dysfunction section, the mean age of the patients was 52 years, 289 were female (64%), 343 (76%) had rheumatic pathology, 79 (17%) had myxomatous pathology, 12 (2%) had endocarditis pathology, and 14 had an unknown pathology. Before surgery, Mod and Severe dysfunction was seen in 226 patients (40%) and after surgery (follow up), it was seen in 85 patients (19%). Before surgery, Mod and Severe TR was seen in 356 patients (79%) and after surgery, it was seen in 91 patients (20%). The mean of PAP before surgery was 54 mmHg and after surgery, it was 37 mmHg, which was significant in all cases (P<0.05). Out of 282 people with Mod to Sever TR before the surgery by bicuspidization method, 37 people reached follow up and out of 156 people operated by devega method, 22 people reached follow up and out of 65 people operated by ring method, 9 people reached follow up. Based on the results obtained in this study, all the methods used for tricuspid repair are useful, but the results of ring use and bicuspidization were better than devega method and had less residual TR after surgery. Therefore, it is recommended to use the Ring method in cases of TR with or without involvement of other valves, since it showed better results and bicuspidization method and devega method are not recommended.