Echocardiographic studies have confirmed that normal splitting of the first heart sound is a result of mitral valve closure preceding tricuspid valve closure. This fits in with contraction of the left ventricle before the right, but the width of splitting is usually greater than would be expected from the known ventricular asynchrony. The importance of atrial systole, which initiates closure of...

this paper presents the case of a 35 year-old woman with symptoms of heart failure from the last month. a physical examination at admission showed paleness, dyspnea, peripheral edema and fatigue. in a two-dimensional echocardiography and transesophageal echocardiography, normal thickness but severe left and right ventricular dysfunction with severe pericardial effusion and thickened pericardium...

Severe tricuspid regurgitation resulting from a flail leaflet is a rare cause of neonatal cyanosis. We report a neonate with profound cyanosis and severe tricuspid regurgitation caused by a rupture of the papillary muscle supporting the anterior leaflet, without other structural heart defects. Ductal patency could not be established. The repair of the tricuspid valve was performed after initial...

OBJECTIVES This study sought to: 1) determine the feasibility of using 3-dimensional transthoracic echocardiography (3D TTE) in patients with implantable cardiac resynchronization devices, pacemakers, and defibrillators to visualize the device leads in the right heart and their position relative to the tricuspid valve leaflets; 2) determine the prevalence of different lead positions; and 3) stu...

BACKGROUND Identification of preoperative heart valve surgery risk factors aim to improve surgical outcomes with the possibility to offset conditions related to increased morbidity and mortality. OBJECTIVE Intent of this study is to identify hospital risk factors in patients undergoing bovine pericardial bioprosthesis implantation. METHODS Retrospective study including 703 consecutive patie...

Tricuspid valve dysplasia (TVD) is a congenital deformity of tricuspid valve (TV), chordae tendineae, or papillary muscles resulting in insufficiency of tricuspid valve. The downward displacement of tricuspid valve leaflets into the right ventricle (RV) i.e. right ventricular atrialization results in a rare malformation called Ebstein’s anomaly [1,2]. No doubt tricuspid valve dysplasia in dogs ...

Most maternal cardiac disease in Western societies is now congenital in origin. This relates to the significant improvements in congenital cardiac surgery during the last years. Some patients will present for the first time in pregnancy with symptoms and learn that they have congenital heart disease. So all patients should have a detailed evaluation and appropriate counseling before pregnancy. ...

Objective prospective evaluation of the technique of isolated tricuspid valve replacement on beating heart, compared to the classic aortic cross clamp and cardiolplegia administration. Methods Between May 2004 and May 2014, 30 patients underwent surgery for isolated tricuspid valve infective endocarditis (TVIE), in Cairo University hospitals. Patients were divided into two equal groups. 15 pati...

Congenital heart valve cyst is a rare and asymptomatic condition mostly seen in the mitral and tricuspid valves (1). In some cases, surgery is required as these cysts may cause obstruction, valve dysfunction, and sometimes embolism (2, 3). We think that if a heart valve cyst is asymptomatic and does not alter valve function, periodic evaluation with echocardiography is a feasible option. Here w...

This report describes a spectrum of M-mode and cross-sectional echocardiographic abnormalities in eight patients with infective endocarditis of the tricuspid valve. The M-mode echocardiogram of the tricuspid valve was abnormal in all but one patient in whom abnormal echoes were seen anterior to the tricuspid valve, in the right ventricular cavity and right ventricular outflow tract. Six patient...