Eventually, the algorithm for when to intervene on the tricuspid valve during left sided valve surgery will be more robust. Better discriminatory preoperative data will be required to sort the role of annular size, right ventricular function, and pulmonary artery pressures. As for now, there is a paucity of evidence that an aggressive approach to fixing moderate functional TR during left sided ...

The tricuspid valve was studied in 143 subjects using two dimensional echocardiography. The groups studied were 40 normal subjects, 31 patients with mitral valve prolapse, 22 with clinically probable tricuspid valve prolapse, 20 with congestive cardiac failure, and 30 with miscellaneous cardiac conditions but no features of right heart disease. Using multiple views it was possible to record all...

We discuss the case of a 24-year-old woman with Lutembacher syndrome and severe tricuspid regurgitation (TR) who underwent surgical closure of atrial septal defect and mitral valve replacement without tricuspid annuloplasty despite a severe TR and a large tricuspid annulus on preoperative echo. The pathophysiology of Lutembacher syndrome is discussed below. The utility of perioperative echocard...

BACKGROUND This study was done to investigate the potential additional role of virtual reality, using three-dimensional (3D) echocardiographic holograms, in the postoperative assessment of tricuspid valve function after surgical closure of ventricular septal defect (VSD). METHODS 12 data sets from intraoperative epicardial echocardiographic studies in 5 operations (patient age at operation 3 ...

A case of traumatic tricuspid insufficiency is presented. In the diagnosis of ruptured chordae tendineae of the tricuspid valve, two-dimensional echocardiography was an essential diagnostic procedure, while M-mode echocardiography showed no specific findings. Ruptured chordae tendineae of the tricuspid valve were confirmed at operation.

A 46-year-old man after a tricuspid valve replacement due to traumatic severe tricuspid regurgitation developed cavotricuspid isthmus-dependent counterclockwise atrial flutter. During a linear ablation using a contact force-sensing irrigated ablation catheter, the flutter could be terminated by a radiofrequency application within a deep pouch just below the bioprosthetic tricuspid valve.

background pulmonary arterial hypertension (pah) is a serious complication of unrepaired congenital left-to-right shunts. the final consequence is right ventricular (rv) systolic dysfunction and reversal of shunt. objectives the aim of this study was to evaluate the clinical course and paraclinical findings in a group of patients with pah associated with congenital heart disease (pah-chd). we a...

A 38-year-old male patient presented to our hospital with a 3-month history of shortness of breath in combination with severe peripheral edema and ascites. Twenty-two years previously, he had undergone bioprosthetic tricuspid valve implantation due to Ebstein anomaly. Transthoracic echocardiography revealed significantly dilated right cardiac chambers, reduced right ventricular function, stenot...

BACKGROUND Long-term follow-up data concerning isolated tricuspid valve pathology after replacement or reconstruction is limited. Current American Heart Association guidelines equally recommend repair and replacement when surgical intervention is indicated. Our aim was to investigate and compare operative mortality and long-term survival in patients undergoing isolated tricuspid valve repair su...

BACKGROUND The aim of this study is to review the outcome of reoperation for severe tricuspid regurgitation after repair of tetralogy of Fallot. METHODS Between 1972 and 2000, 12 patients underwent reoperation on the tricuspid valve after total correction of tetralogy of Fallot. The mean age at the time of reoperation was 17 years (range, 1 to 39 years). The mean interval between the initial ...