after multidisciplinary evaluation, 3 high-risk patients underwent transfemoral tricuspid valve-in-ring implantation (TVIRI) for refractory congestive heart failure because of deterioration of their tricuspid surgery, using Sapien XT valves (Edwards Lifesciences Inc, Irvine, CA). Patient 1: 44-year-old man, drug abuse, 4 episodes of tricus-pid endocarditis, 2 previous cardiac surgeries for mitr...

Libman-Sacks endocarditis (LSE), characterized by verrucous vegetations formation, is a typical cardiac manifestation of autoimmune diseases such as systemic lupus erythematosus (SLE) and antiphospholipid syndrome (APS). It primarily leads to lesions of cardiac valves and mostly involved valves are mitral and aortic, but isolated tricuspid valve involvement is exceptional. Here we reported a 20...

To cite: Oylumlu M, Dogan A, Ercan S, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-202760 DESCRIPTION A 20-year-old man with no history of known cardiac disease was admitted with dyspnoea on exertion during a few weeks. His effort capacity was class I. At physical examination, his blood pressure was 120/ 70 mmHg and pulse 80 bpm. His physical exami...

When discussing myxomatous valve disease in dogs, one has in mind atrioventricular valves, in particular the mitral valve, which is affected the most commonly and followed by the tricuspid, aortic valve and pulmonic valve, the last being seldom degenerated. Myxomatous mitral valve disease (MVD) is the most common cause of heart failure in dogs (1). In literature it can be found under various na...

Infective endocarditis is a serious complication of intravenous (IV) drug abuse, with a reported mortality of 5 to 10%. A 21-year-old man, who was an intravenous drug abuser, presented with fever and dyspnea. Transthoracic echocardiography showed a highly mobile, large vegetation on the anterior leaflet of the tricuspid valve. Despite antibiotic therapy for ten days, the patient remained febril...

This study attempts to predict the size of shunt in secundum atrial septal defects by non-invasive M-mode echocardiography. The areas under the excursions of the mitral and tricuspid valves were measured with a sonic digitiser and the ratio of these areas compared with the shunt size as obtained at c'atheterisation. The relation between the mitral and tricuspid valve areas in patients with atri...

Uncorrected functional tricuspid regurgitation can lead to long-term morbidity and mortality. To evaluate our results using autologous pericardium annuloplasty to treat tricuspid regurgitation, we retrospectively reviewed 59 consecutive adult patients aged 19 years to 83 years (58.7 +/- 15.5 years) who underwent tricuspid valve annuloplasty between 2000 and 2003. Concomitant procedures consiste...

Isolated tricuspid insufficiency can be a well-tolerated lesion, as illustrated by a 32year follow-up in one patient reported here. A second case of recent onset is also described. The 13 reported cases of isolated tricuspid insufficiency due to trauma can be divided into two groups: ruptured papillary muscle or ruptured chordae tendineae and/or valve. All patients with ruptured papillary muscl...

A 56-year-old man was admitted to our hospital for coronary artery bypass graft surgery. Preoperative transthoracic echocardiography revealed thickening of the anterior leaflet of the tricuspid valve, and transesophageal echocardiography showed oval and irregular-shaped masses, featuring well-demarcated borders and a homogenous texture, attached to the atrial side of the anterior leaflet of the...

Mitral and tricuspid are increasingly prevalent. Doppler echocardiography not only detects the presence of regurgitation but also permits to understand mechanisms of regurgitation, quantification of its severity and repercussions. The present document aims to provide standards for the assessment of mitral and tricuspid regurgitation.