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European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia , 

 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57



Hatem M. Aboalazayem*, MSc, Elhussainy Gamile, MD, Mohammad Abdelbaset, MD, Saleh Raslan Hussain, MD, Mohammad Alsaid Mosa, MD


Background. Adjustable segmental tricuspid annuloplasty is a new recently published procedure. The purpose of this prospective study was to present the technical advantages of this new tricuspid annuloplasty and Compare between it and De Vega repair and analyze its early and midterm results. Methods.between March 2015 and August 2016 in El-Hussain Hospital., 60 patients who had moderate or severe pure functional tricuspid regurgitation (TR), Patients were divided into 2 groups: (group A)30 patients where De Vega annuloplasty was performed and (group B)30 patients where segmental annuloplasty was performed, The decision for type of repair of tricuspid valve depended on randomization in the selection of two groups. The mean age of the patients was 34.87± 9.83 years and Females represented (46.7%) and (53.3%) of the patients in group A and B respectively. All patients had recent preoperative transthoracic echocardiography (TTE). two postoperative TTE were performed: (I) before the hospital discharge;(II) 6 months after surgery. Rsults: In Early postoperative ECHO: In group A 5 of patients (16.7%) had moderate TR, while in Group B no one have moderate TR. The difference between both groups is statistically significant. But in Late postoperative ECHO ( after 6 months)In Group A : 10 of patients (33.3%) have moderate TR, but 4 of them (13.3%) have moderate to severe TR, and finally 3 of them (10%) had severe degree of TR, while In group B : 3 of patients (10%) had moderate TR. The difference between both values is statistically highly significant. Conclusion: no hospital mortality was reported. Progressive overall clinical improvement was observed and postoperative TTE revealed that recurrence rate of TR occurs more in De Vega repair group, and result of repair was better in segmental repair group in early and midterm results.

Keywords: De Vega annuloplasty, segmental annuloplasty.

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia