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Review
. 2015 Nov;101(22):1840-8.
doi: 10.1136/heartjnl-2014-307252.

Secondary tricuspid valve regurgitation: a forgotten entity

Pilar Tornos Mas  1 , José F Rodríguez-Palomares  2 , Manuel J Antunes  3
Affiliations
Review

Secondary tricuspid valve regurgitation: a forgotten entity

Pilar Tornos Mas et al. Heart. 2015 Nov.
No abstract available

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Figures

Figure 1
Figure 1
Anatomy of the tricuspid valve (A) and normal tricuspid annulus (C, left image) with a non-planar morphology with highest points in the anteroposterior direction and the lowest in the mediolateral. In patients with functional tricuspid regurgitation, the annulus becomes more planar (C, right image) and dilated in the anteroposterior diameter (B). A: anterior, P: posterior; RA, right atrium; TR, tricuspid regurgitation. Adapted from Shinn and Schaff.11
Figure 2
Figure 2
Multimodality assessment of the tricuspid valve and RV volumes and function. (A) 3D echocardiographic assessment of the tricuspid valve. (B) Colour Doppler regurgitant flow in massive TR. (C) Dense/triangular flow with early systolic peak in a patient with massive TR. (D) Cine short-axis view showing right and left mass and volumes assessed by MRI. S, septal leaflet; P, posterior leaflet; A, anterior leaflet; TR, tricuspid regurgitation.
Figure 3
Figure 3
Proposed algorithm of management and follow-up of patients with isolated TR. CMR, cardiovascular magnetic resonance; TR, tricuspid regurgitation.
Figure 4
Figure 4
Suture annuloplasty: De Vega (A) and modified De Vega annuloplasty (B).
Figure 5
Figure 5
Ring annuloplasty (Left—in diastole; Right—during systole).
See this image and copyright information in PMC

References

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    1. Colombo T, Russo C, Ciliberto GR, et al. . Tricuspid regurgitation secondary to mitral valve disease: tricuspid annulus function as guide to tricuspid valve repair. Cardiovasc Surg 2001;9:369–77. 10.1016/S0967-2109(00)00147-2 - DOI - PubMed

MeSH terms