scholarly journals P911 3D echo imaging of tricuspid valve: new look at the tricuspid valve

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
H S A Abdelgawad ◽  
M Shehata ◽  
M Abdelnabi ◽  
A Almaghrabi ◽  
R Abayazeed ◽  
...  
Keyword(s):  
Tricuspid Valve ◽  
Three Dimensional ◽  
Individual Case ◽  
The Other ◽  
Volume Data ◽  
Road Map ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography ◽  
The Right ◽  
And Function

Abstract Introduction "" En face"" visualisation of the tricuspid valve (TV) leaflets and commissures is not possible using two-dimensional transthoracic echocardiography (TTE) unless the right ventricle (RV) is dilated via parasternal short axis or subcostal views. With the aid of three dimensional echocardiography (3DE) , complete assessment of the TV apparatus including the leaflets, annulus and subvalvular apparatus can be easily accomplished. Aim To use different modes of three dimensional (3D TTE) to assess TV in three standard views in different diseases. Methods : 6 patients with different tricuspid valve diseases (mean age is 29 ± 18 years, 3 were women)were studied.We used three-dimensional echocardiography to acquire zoomed mode and multi-beat, full-volume data sets of the TV to assess the leaflets and commissures. .Moreover, tricuspid valve area(TVA) was assessed by direct planimetry of the valve orifice at the level of the leaflets tips at end diastolic frame in cases of TV stenosis. Results Direct visualization of the leaflets motion and number, commissures and TVA were achieved in all patients.Tricuspid valve posterior leaflet prolapse was seen in two patients (figures A, B).2 patients had tricuspid valve stenosis ; one showed characteristic commissural fusion in a rheumatic heart (3D TVA= 1.2 cm2 )(Figure D) and the other has a peculiar commissural sparing in a carcinoid pathology (3D TVA = 1.9 cm2) (Figure E) .One patient revealed rudimentary anterior leaflet suggesting unguarded TV orifice (Figure F). Regarding the numerical variations: one patient got 4 leaflets (Figure C) while another one had 2 leaflets only. Conclusion Simultaneous visualization of the three TV leaflets is limited by using 2DE.On the other hand, RT-3DE allows better understanding of the anatomy and mechanisms of the TV diseases .Comprehensive assessment of the morphology and function using RT-3DE can provide a valuable road map to guide the intervention according to each individual case. Abstract P911 Figure. Different TV morpholgies.

Evaluation of Tricuspid Valve Morphology and Function by Transthoracic Three-Dimensional Echocardiography

2011 ◽  
Vol 13 (3) ◽  
pp. 242-249 ◽  
Author(s):  
Denisa Muraru ◽  
Luigi P. Badano ◽  
Cristiano Sarais ◽  
Elena Soldà ◽  
Sabino Iliceto
Keyword(s):  
Tricuspid Valve ◽  
Three Dimensional ◽  
Valve Morphology ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography ◽  
And Function

Familial cardiomyopathies

2016 ◽  
Author(s):  
Fausto Rigo ◽  
Covadonga Fernández-Golfín ◽  
Bruno Pinamonti
Keyword(s):  
Tricuspid Valve ◽  
Tricuspid Regurgitation ◽  
Imaging Modality ◽  
Three Dimensional ◽  
Functional Tricuspid Regurgitation ◽  
Dimensional Echocardiography ◽  
Valve Pathology ◽  
Three Dimensional Echocardiography ◽  
The Right ◽  
Valve Diseases

The tricuspid valve is currently the subject of much interest from echocardiographers and surgeons. Functional tricuspid regurgitation is the most frequent aetiology of tricuspid valve pathology, is characterized by structurally normal leaflets, and is due to annular dilation and/or leaflet tethering. A primary cause of tricuspid regurgitation with/without stenosis can be identified only in a minority of cases. Echocardiography is the imaging modality of choice for assessing tricuspid valve diseases. It enables the cause to be identified, assesses the severity of valve dysfunction, monitors the right heart remodelling and haemodynamics, and helps decide the timing for surgery. The severity assessment requires the integration of multiple qualitative and quantitative parameters. The recent insights from three-dimensional echocardiography have greatly increased our understanding about the tricuspid valve and its peculiarities with respect to the mitral valve, showing promise to solve many of the current problems of conventional two-dimensional imaging. This chapter provides an overview of the current state-of-the-art assessment of tricuspid valve pathology by echocardiography, including the specific indications, strengths, and limitations of each method for diagnosis and therapeutic planning.

Assessment of left atrial volume and function in patients with psoriasis by using real time three-dimensional echocardiography

2015 ◽  
Vol 127 (21-22) ◽  
pp. 858-863 ◽  
Author(s):  
Halil Atas ◽  
Alper Kepez ◽  
Mehmet Bozbay ◽  
Dilek Seckin Gencosmanoglu ◽  
Altug Cincin ◽  
...  
Keyword(s):  
Real Time ◽  
Left Atrial ◽  
Three Dimensional ◽  
Left Atrial Volume ◽  
Atrial Volume ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography ◽  
And Function

scholarly journals The impact of catheter ablation of atrial fibrillation on the left atrial volume and function: study using three-dimensional echocardiography

2019 ◽  
Vol 57 (1) ◽  
pp. 87-95
Author(s):  
Jongmin Hwang ◽  
Hyoung-Seob Park ◽  
Seongwook Han ◽  
Seung-Woon Jun ◽  
Na-Young Kang ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Left Atrial ◽  
Three Dimensional ◽  
Left Atrial Volume ◽  
Volumetric Assessment ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography ◽  
And Function ◽  
The Impact

Abstract Purpose The exact correlation between the baseline left atrial (LA) volume (LAV) and atrial fibrillation (AF) radiofrequency catheter ablation (RFCA) outcomes and changes to the LA after AF RFCA has not yet been fully understood. We sought to evaluate the serial changes in the LAV and LA function after RFCA using 3D echocardiography. Methods Consecutive patients who received RFCA of paroxysmal (PAF) or persistent AF (PeAF) at our center between January 2013 and March 2016 were included. Real-time 3D apical full-volume images were acquired, and a 3D volumetric assessment was performed using an automated three-beat averaging method. The LAV index (LAVI) was calculated and the LA ejection fraction (LAEF) was calculated as [LAVmax − LAVmin]/LAVmax. Results Ninety-nine total patients were enrolled, and the mean age was 58.0 ± 8.2 years and 75 (74.7%) were male. There were 59 (59.6%) PAF patients and the remaining 40 (40.4%) had PeAF. AF recurred in 5 of 59 (8.5%) PAF and in 10 of 40 (25%) PeAF patients. The LAVImax increased on 1 day, decreased at 3 months, and then increased again at 1 year but was lower than that at baseline. The LAEF changes were similar to the volume changes but were more prominent in PeAF than PAF patients. The baseline 3D LAVImax was an independent predictor of AF recurrence after RFCA and the cut-off value was 44.13 ml/m2. Conclusion In our study, even after 3 months of scar formation due to ablation, structural remodeling of the LA continued. The changes were more prominent in the non-recurrent, PeAF patients.

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