Tricuspid valve prolapse secondary to excessive long chordae evaluated by transthoracic echocardiography

Author(s):  
Hayati Eren
2011 ◽  
Vol 21 (3) ◽  
pp. 354-356 ◽  
Author(s):  
Souheir Salam ◽  
David Gallacher ◽  
Orhan Uzun

AbstractWe report the case of a child with cor triatriatum dexter masquerading as Ebstein's anomaly on transthoracic echocardiography. This was attributed to a floppy membrane arising from the right atrium, protruding into the tricuspid valve and pushing the leaflets downwards, giving an impression of Ebstein's anomaly. The importance of recognising this pitfall will prevent misdiagnosis of Ebstein's anomaly.


2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
K H K Kam ◽  
D R Au ◽  
PROF Lee

Abstract Funding Acknowledgements Nil A 43-year old lady complained of dyspnoea with elevated jugular venous pressure. Transthoracic echocardiography (TTE) showed massive pericardial effusion [Figure 1A] with a huge heterogeneous mass (5x9cm) attached to right atrial free wall [Figure 1B]. Therapeutic pericardiocentesis yielded blood-stained pericardial fluid with negative for tumour cells. Endomyocardial biopsy (EMB) was performed under transthoracic echocardiography (TTE) and fluoroscopy guidance. Right after procedure, there was a significant desaturation which could not be reversed by high flow oxygen supplement. The acute hypoxaemia was secondary to right-to-left shunt through a wide-open patent foramen ovale (PFO) as shown by transoesophageal echocardiography (TOE) [Figure 2A-D]. Transcatheter PFO closure was performed under TOE guidance with immediate correction of hypoxemia. [Figure 3]. Subsequent Computer Tomography demonstrated a large vascular mass at right atrium abutted onto the basal right ventricle and tricuspid valve [Figure 4] without evidence of tumor embolism. The histological diagnosis confirmed it was a cardiac sarcoma. Given the infiltrative nature of cardiac sarcoma with significant right ventricular (RV) inflow obstruction, a debulking surgery was done rather than a complete curative resection. She was referred to oncologist for adjuvant chemotherapy. We postulated that there is a shift in tumour location, i.e. more towards the tricuspid valve orifice which results in elevated right ventricular inflow obstruction which triggers the acute right-to-left shunting through PFO. Abstract 1636 Figure. EMB


Author(s):  
Hajrije Hajro Ismaili ◽  
Haki Jashari ◽  
Besart Merovci ◽  
Teuta Hasbahta ◽  
Zana Kusari ◽  
...  

A full-term female neonate with infective endocarditis was reviewed. Transthoracic echocardiography showed vegetations attached to the tricuspid valve. The baby had clinical signs of septicaemia and positive blood culture Pseudomonas aeruginosa. Thus, echocardiography remains an important tool in the diagnosis and follow-up of infective endocarditis.


Author(s):  
Osama I. Soliman ◽  
Jackie McGhie ◽  
Ashraf M. Anwar ◽  
Mihai Strachinaru ◽  
Marcel L. Geleijnse ◽  
...  

2018 ◽  
pp. 149-153
Author(s):  
Z H Teoh ◽  
J Roy ◽  
J Reiken ◽  
M Papitsas ◽  
J Byrne ◽  
...  

Moderate-to-severe tricuspid regurgitation is associated with higher mortality and morbidity yet remains significantly undertreated. The reasons for this are complex but include a higher operative mortality for patients undergoing isolated tricuspid valve surgery. This study sought to determine the prevalence of patients with moderate-to-severe tricuspid regurgitation and identify those who could be potentially suitable for percutaneous tricuspid valve intervention by screening patients referred for transthoracic echocardiography (ECHO) at a tertiary center. Our results showed that the prevalence of moderate-to-severe tricuspid regurgitation in our total ECHO patient population was 2.8%. Of these, approximately one in eight patients with moderate-to-severe tricuspid regurgitation would be potentially suitable for percutaneous intervention and suggests a large, unmet clinical need in this population.


2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Kaminska ◽  
P Lopatowska ◽  
B Sobkowicz

Abstract Over the last decade there has been a significant increase in the number of implantable cardiac defibrillators (ICD) in patients with heart failure with reduced ejection fraction (HFrEF). These leads have been reported to cause or to increase tricuspid regurgitation (TR). Echocardiography is not routinely used to elucidate the mechanisms of lead interference with tricuspid valve leaflets in individual patients. AIM To evaluate of usefulness of 3-dimensional transthoracic echocardiography (3D TTE) in the assessment of ICD lead position and its relations to tricuspid valve. METHODS A population consisting of 44 consecutive patients with ICD was evaluated (43 – patients with HFrEF, 1 – patient with hypertrophic cardiomyopathy). 3D TTE full-volume images of the right ventricle and/or zoomed images of the tricuspid valve were obtained. Images were analysed off-line to determine the position of the device-lead in relation to the tricuspid valve leaflets. Severity of TR was estimated as not important (+, ++) and important (+++, ++++). RESULTS An evaluation of the device-lead position was impossible due to poor diagnostic quality of echocardiographic images in 4 patients (9%). Among 40 remaining subjects in 12 (30%) lead was in central position, without interfering with leaflet motion, in 14 (35%) - impinging on the posterior leaflet, 6 (15%) - impinging on the septal leaflet, 8 (20%) – lead was positioned near the posteroseptal commissure. Among 15 patients (38%) TR was assessed as important. There was no correlation between device-lead position and severity of TR. CONCLUSIONS 3D TTE enables to determinate ICD-lead position and its relation to tricuspid valve. 3D TTE can explain a mechanism of associated TR in individual patients. Further studies are necessary to investigate possible relationship between lead position and TR severity.


2016 ◽  
Vol 24 (3) ◽  
pp. 253 ◽  
Author(s):  
Kikuko Obase ◽  
Karima Addetia ◽  
Kazue Takahashi ◽  
Katsunori Yamamoto ◽  
Ai Kawamura ◽  
...  

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