The role of valve replacement in the treatment of Ebstein's anomaly of the tricuspid valve remains controversial. Since 1965, eight patients with Ebstein's anomaly ranging in age from seven to 22 years of age (mean 13 years) have undergone tricuspid valve replacement (TVR) in our institution. Seven were in functional class 3 or 4 (NYHA), while one was in class 2, but had an increase in cardiac ...

A ruptured sinus of Valsalva aneurysm rarely accompanies the aortic and tricuspid valve endocarditis. A 36-year-old woman presented with low-threshold dyspnea on exertion and fever. Transthoracic and transesophageal echocardiography showed a ruptured noncoronary sinus of Valsalva aneurysm with large vegetations on the tricuspid and aortic valves, resulting in moderately severe tricuspid regurgi...

SUMMARY The echocardiographic features of Ebstein's anomaly include a large anterior chamber, para-doxic ventricular septal motion (type B), increased velocity and amplitude of anterior tricuspid leaflet (ATL) motion, and delayed closure of the ATL. This delayed closure has been thought to be secondary to right bundle-branch block (RBBB). We have studied two patients by simultaneous echocardiog...

The minimally invasive, right mini-thoracotomy technique described can be applied to patients that require a concomitant tricuspid valve repair or replacement at the time of a mitral valve procedure. This has been the most common scenario where tricuspid valve surgery is performed. This approach is applicable to patients requiring isolated tricuspid valve surgery. In addition, patients who have...

A 66-year-old woman was diagnosed with hepatic metastasized carcinoid tumor of the ileocecal junction resulting in elevated plasma chromogranin A levels and urinary 5-hydroxyindoleacetic acid (5-HIAA) levels. Further examination showed right-sided heart failure with severe tricuspid valve regurgitation. Carcinoid tumors produce serotonin which leads to flushing, secretory diarrhea, bronchospasm...

bicuspid aortic valve is traditionally considered an innocuous congenital anomaly. due to a better and widespread availability of non-invasive imaging techniques, it has come to the fore that 30% of these cases develop complications, viz., valve abnormality (aortic regurgitation and stenosis), and aneurysm of aortic root and ascending aorta. sinus of valsalva aneurysm is an uncommon complicatio...

The number of reoperations for prosthetic valve replacement has increased in recent years due to the steady increase in life expectancy. However, reoperations are complex and require experience and skills. We report the case of a 69-year-old female with severe right heart failure who underwent tricuspid valve re-replacement 28 years after the initial tricuspid valve replacement. Cardiopulmonary...

Clinical tricuspid stenosis has not previously been reported in patients with systemic lupus erythematosus (SLE). A 25 year old woman with active SLE presented with signs of severe right ventricular failure. Cardiac catheterisation confirmed the diagnosis of tricuspid stenosis and regurgitation together with mitral regurgitation. This patient underwent successful tricuspid and mitral valve repl...

OBJECTIVE To study the prevalence and the characteristics of physiological valve regurgitation. DESIGN Pulsed wave Doppler echocardiography, continuous wave Doppler echocardiography and Doppler colour flow mapping were performed prospectively in healthy volunteers. SETTING Echocardiography laboratory in a city hospital. PATIENTS 32 consecutive healthy volunteers (age 21-49 years, mean age...