3-Dimensional Echocardiographic Analysis of the Tricuspid Annulus Provides New Insights Into Tricuspid Valve Geometry and Dynamics

Addetia, Karima; Muraru, Denisa; Veronesi, Federico; Jenei, Csaba; Cavalli, Giacomo; Besser, Stephanie; Mor‐Avi, Victor; Lang, Roberto M.; Badano, Luigi P.

doi:10.1016/j.jcmg.2017.08.022

Cited by 119 publications

(86 citation statements)

References 19 publications

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“…1,2,8 The role of the remodeling of the RA in the pathophysiology of TA dilation and development of FTR has been largely neglected until recently. 4,9 Contemporary three-dimensional echocardiography allows a comprehensive assessment of the tricuspid valve, 10,11 the RA, 12 and the right ventricle 13 to clarify the pathophysiology of FTR. However, it remains to be clarified whether it is a preexisting FTR that, through a dilation of the RA, triggers the AF onset or, conversely, whether it is the chronic AF that, through the dilation of the RA, causes the dilation of the TA and leads to FTR.…”

Section: Discussionmentioning

confidence: 99%

Functional Tricuspid Regurgitation and Atrial Fibrillation: Which Comes First, the Chicken or the Egg?

Muraru

Caravita

Guta

et al. 2020

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Section: Discussionmentioning

confidence: 99%

Functional Tricuspid Regurgitation and Atrial Fibrillation: Which Comes First, the Chicken or the Egg?

Muraru

Caravita

Guta

et al. 2020

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“…The leaflet coaptation status of the TV posterior tricuspid leaflet (STL, ATL, and PTL, respectively), 3-D quantification software is used to interrogate the 2-D planes perpendicularly crossing the middle of each TV leaflet, generated carefully using guidance on the short-axis image of the TV. 13, 15 On each of the 3 long-axis planes, the leaflet lengths were measured on a mid-diastole frame; the leaflet tethering angles between the annulus line and the 3 leaflets can be measured on a mid-systole frame Addetia et al, 21 our group also found in patients with TR that 2D-TTE-TAD is highly correlated with 3D-TEE-TAD, but that 2D-TTE-TAD was significantly smaller than 3D-TEE-TAD, with a mean bias of 3.9±2.6 mm. 14 These inconsistencies between measured 2D-TTE-TAD and the actual annular diameter are mainly explained through various orientations of the dilated annulus (Figure 4).…”

Section: Annulus Size Shape and Orientationmentioning

confidence: 99%

Role of 3-Dimensional Echocardiography in the Comprehensive Evaluation of the Tricuspid Valve in Patients With Tricuspid Regurgitation

Utsunomiya

Kihara

2020

Circ Rep

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Three-dimensional echocardiography is one of the most promising methods for the diagnosis of valvular heart disease, and recently has become an essential clinical tool owing to the continued development of real-time transesophageal echocardiography (TEE) technology. And now an era of renewed interest and enthusiasm surrounding the diagnosis and treatment of valvular heart disease has come, which is driven by emerging trans-catheter procedures. Nonetheless, little or no attention has been given to the treatment of tricuspid regurgitation (TR). The application of 3D-TEE is useful for simultaneous visualization of all 3 leaflets in order to grasp the whole picture of the tricuspid valve (TV; "en face" view). The implications of 3-D assessment of TV annulus, leaflets, and morphology involve an improved understanding of both the mechanics and treatment of TR. This method has been useful for surgical management, including accurate measurement of tricuspid annular diameter and prediction of the post-surgical outcome. Moreover, this method may be indispensable for detailed and comprehensive evaluation of the TV in patients with TR who are candidates for trans-catheter tricuspid procedures. In addition, color Doppler 3D-TEE has been valuable to identify the location of the regurgitant orifice and the severity of the TR. It is now clear that this method will enhance the diagnosis and management of TR patients.

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“…We also review in tabular form the salient features of this deformity, the current literature dealing with 2D and 3DTTE findings in this deformity and, for comparison purposes, RV, RA, and TVA 2DTTE/3DTTE findings in normal/healthy subjects. The latter include not only available guidelines but also studies published in the literature after the guidelines were formulated (Tables , Figure ) …”

Section: Anterior Chest Wall Congenital Deformitiesmentioning

confidence: 99%

Incremental value of three‐dimensional transthoracic echocardiography over the two‐dimensional modality in the assessment of right heart compression and dysfunction produced by pectus excavatum

et al. 2018

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The usefulness of two-dimensional transthoracic echocardiography (2DTTE) in the assessment of right heart compression and dysfunction produced by pectus excavatum chest wall deformity has been well described in the literature by several investigators. However, there is a paucity of reports describing incremental value of live/ real time three-dimensional transthoracic echocardiography (3DTTE) over the twodimensional technique in the evaluation of right heart function in these patients. We present a severe case of pectus excavatum chest wall deformity in a young male, in whom 3DTTE provided incremental value over standard 2DTTE in assessing compression of the right heart before surgery and marked improvement in right heart function parameters following surgical repair. In addition, an updated summary of salient features of this deformity, including 2D and 3DTTE findings as well as right heart echocardiographic parameters by both 2D and 3DTTE in normal/healthy subjects summarized from the literature have been provided in a tabular form for comparison. K E Y W O R D Spectus excavatum, right atrium, right heart, right ventricle, right ventricular volume, speckle tracking echocardiography., three-dimensional echocardiography, three-dimensional transthoracic echocardiography, tricuspid valve annulus, two-dimensional echocardiography S U PP O RTI N G I N FO R M ATI O NAdditional supporting information may be found online in the Supporting Information section at the end of the article.Movie S1. Two-dimensional transthoracic echocardiography. How to cite this article: Salama AY, Arisha MJ, Nanda NC, Klas B, Ibeche B, Wei B. Incremental value of threedimensional transthoracic echocardiography over the two-dimensional modality in the assessment of right heart compression and dysfunction produced by pectus excavatum. Echocardiography. 2019;36:150-163. https://doi.

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3-Dimensional Echocardiographic Analysis of the Tricuspid Annulus Provides New Insights Into Tricuspid Valve Geometry and Dynamics

Cited by 119 publications

References 19 publications

Functional Tricuspid Regurgitation and Atrial Fibrillation: Which Comes First, the Chicken or the Egg?

Functional Tricuspid Regurgitation and Atrial Fibrillation: Which Comes First, the Chicken or the Egg?

Role of 3-Dimensional Echocardiography in the Comprehensive Evaluation of the Tricuspid Valve in Patients With Tricuspid Regurgitation

Incremental value of three‐dimensional transthoracic echocardiography over the two‐dimensional modality in the assessment of right heart compression and dysfunction produced by pectus excavatum

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