Search Our Scientific Publications & Authors

Ann Thorac Surg 2021 May 4. Epub 2021 May 4.

Department of Critical Care Medicine, the First Affiliated Hospital, Zhejiang University School of Medicine. Electronic address:

A 41-year-old male patient attended the hospital suffering from chest tightness and intermittent chest pain. Through cardiac ultrasonography, a metallic foreign body was found in the right ventricle, accompanied by tricuspid insufficiency. Chest computed tomography scan further confirmed a foreign body stuck at the opening of the tricuspid valve. Read More

Rev Esp Cardiol (Engl Ed) 2020 Oct 21. Epub 2020 Oct 21.

Departamento de Cardiología, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Spain.

Introduction And Objectives: Severe tricuspid regurgitation (TR) is a prevalent valve disease with a high mortality rate. Current guidelines do not define specific thresholds at which patients should be considered for surgery or percutaneous procedures. Thus, patients are usually referred for intervention at a late stage of the disease. Read More

Pulm Circ 2021 Apr-Jun;11(2):20458940211007040. Epub 2021 Apr 19.

Department of Cardiology, Heart and Vascular Institute, Maimonides Medical Center, Brooklyn, NY, USA.

Background: Cardiac manifestations in COVID-19 are multifactorial and are associated with increased mortality. The clinical utility and prognostic value of echocardiography in COVID-19 inpatients is not clearly defined. We aim to identify echocardiographic parameters that are associated with 30-day clinical outcomes secondary to COVID-19 hospitalization. Read More

J Am Coll Cardiol 2021 May;77(18):2350-2351

EuroIntervention 2021 May 5. Epub 2021 May 5.

Department of Internal Medicine/Cardiology, Heart Center Leipzig at University of Leipzig and Leipzig Heart Institute, Leipzig, Germany.

Background: Tricuspid regurgitation (TR) has a poor prognosis and limited treatment options and is frequently accompanied by right ventricular (RV) dysfunction. Transcatheter tricuspid valve interventions (TTVI) to reduce TR have been shown to be safe and feasible with encouraging early results. Patient selection for TTVI remains challenging, with the role of right ventricular (RV) function being unknown. Read More

Cardiovasc J Afr 2021 Apr 26;32:1-3. Epub 2021 Apr 26.

Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China. Email:

Tricuspid valve replacement is becoming more and more popular at various medical centres due to the increase in numbers of patients with tricuspid regurgitation. We report on a case of a 59-year-old man who had undergone tricuspid valve replacement with preservation of the native leaflets two years earlier, and developed early prosthetic dysfunction, which may have been caused by fusion of the native valve leaflets with the prosthetic valve leaflets. The experience of this case informs us that preserving the subvalvular apparatus may impede the motion of the prosthesis, and that adapting the individual morphology of the native tricuspid valve during tricuspid valve replacement could benefit the patient and avoid re-operation. Read More

J Clin Med 2021 Apr 29;10(9). Epub 2021 Apr 29.

University of Lille, Inserm, CHU Lille, Institut Pasteur Lille, U1011-European Genomic Institute for Diabetes (EGID), F-59000 Lille, France.

Background And Objective: To evaluate the reliability of compressed-sensing (CS) real-time single-breath-hold cine imaging for quantification of right ventricular (RV) function and volumes in congenital heart disease (CHD) patients in comparison with the standard multi-breath-hold technique.

Methods: Sixty-one consecutive CHD patients (mean age = 22.2 ± 9. Read More

Cardiol J 2021 May 4. Epub 2021 May 4.

Klinik für Innere Medizin I, Universitätsklinikum Jena, Am Klinikum 1, 07747 Jena, Germany.

Background: Percutaneous tricuspid repair using the edge-to-edge technique is a novel treatment option. More data are needed to better understand which aspects predict a favorable outcome METHODS: Twenty high-risk patients (78.6 ± 8. Read More

Korean J Radiol 2021 Apr 23. Epub 2021 Apr 23.

Department of Radiology and Research Institute of Radiology, Cardiac Imaging Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Objective: To investigate the prognostic value of preoperative cardiac magnetic resonance imaging (MRI) for long-term major adverse cardiac and cerebrovascular events (MACCEs) in patients undergoing tricuspid valve (TV) surgery for functional tricuspid regurgitation (TR).

Materials And Methods: The preoperative cardiac MR images, New York Heart Association functional class, comorbidities, and clinical events of 78 patients (median [interquartile range], 59 [51-66.3] years, 28. Read More

Quant Imaging Med Surg 2021 May;11(5):1899-1908

Department of Geriatrics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Background: Hemodialysis (HD) can influence end-stage renal disease (ESRD) patients' circulatory system. The present study aimed to evaluate the effect of volume depletion on left ventricular (LV) and left atrial (LA) function and determine the volume-independent parameters before and after HD in patients with ESRD.

Methods: Between January 2018 and January 2019, we recruited long-term HD patients (n=40, 51. Read More

Clin Case Rep 2021 Apr 23;9(4):2040-2047. Epub 2021 Feb 23.

Erfan General Hospital Tehran Iran.

Carcinoid heart disease is a well-known complication of carcinoid syndrome that affects morbidity and mortality. Carcinoid heart disease may be asymptomatic in the early stages; therefore, patients with carcinoid syndrome should be screened to prevent misdiagnosis. Read More

Clin Case Rep 2021 Apr 12;9(4):1853-1856. Epub 2020 Dec 12.

Department of Cardiac Surgery Faculty of Medicine Damascus University Damascus Syria.

Preserving tricuspid valve's function is the cornerstone in surgical excision of cardiac hydatid cysts present in the right side of the heart. The perfect surgical technique may not exist. However, further studies are needed to ensure the clear path. Read More

ESC Heart Fail 2021 May 2. Epub 2021 May 2.

Division of Cardiac Surgery, Department of Surgery, University of Verona, Piazzale Aristide Stefani, 1, Verona, 37126, Italy.

Aims: After the implantation of a left ventricular assist device (LVAD), many patients continue to experience exercise intolerance. VAFRACT trial evaluates the additional benefit of LVAD echo-guided optimization (EO) on functional capacity (FC), measured by cardiopulmonary exercise test (CPET), and quality of life (QoL).

Methods And Results: Twenty-seven patients were randomized in a 1:1 ratio to EO (EO group) vs. Read More

ESC Heart Fail 2021 May 2. Epub 2021 May 2.

Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.

Aims: Although the prognostic impact of the high tricuspid regurgitation pressure gradient (TRPG) has been investigated, the association of the decrease in TRPG during follow-up with clinical outcomes in heart failure (HF) has not been previously studied. The aim of this study was to investigate the association of a decrease in TRPG between hospitalization and 6 month visit with subsequent clinical outcomes in patients with acute decompensated HF (ADHF).

Methods And Results: Among 721 patients with available TRPG data both during hospitalization and a subsequent 6 month visit, the study population was divided into two groups: a decrease in TRPG group (>10 mmHg decrease at 6 month visit) (N = 179) and no decrease in TRPG group (N = 542). Read More

ESC Heart Fail 2021 May 1. Epub 2021 May 1.

Institute of Clinical Physiology - C.N.R., Pisa, Italy.

Aims: Lung ultrasound B-lines are the sonographic sign of pulmonary congestion and can be used in the differential diagnosis of dyspnoea to rule in or rule out acute heart failure (AHF). Our aim was to assess the prognostic value of B-lines, integrated with echocardiography, in patients admitted to a cardiology department, independently of the initial clinical presentation, thus in patients with and without AHF, and in AHF with reduced and preserved ejection fraction (HFrEF and HFpEF).

Methods And Results: We enrolled consecutive patients admitted for various cardiac conditions. Read More

Ann Thorac Surg 2021 Apr 27. Epub 2021 Apr 27.

Department of Cardiovascular Science, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome.

Functional tricuspid valve regurgitation in the contest of mitral valve disease is a highly prevalent disease. We describe a ring-less technique that combines restrictive annuloplasty (De Vega) with posterior tricuspid leaflet obliteration (Kay) used for patients with less-than-severe functional tricuspid valve regurgitation undergoing mitral valve surgery. The technique has been in use at our centre since 2012, showing promising long-term echocardiographic results, with stable reduction of the annulus size and stable reduction of the degree of regurgitation. Read More

Eur Heart J Cardiovasc Imaging 2021 Apr 30. Epub 2021 Apr 30.

University of Rennes, CHU Rennes, Inserm, LTSI-UMR 1099, F-35000 Rennes, France.

Aims: Tricuspid regurgitation (TR) was long forgotten until recent studies alerting on its prognostic impact. Cardiac output (CO) is the main objective of heart mechanics. We sought to compare clinical and echocardiographic data of patients with TR from inclusion to 1-year follow-up according to initial CO. Read More

Ann Thorac Surg 2021 Apr 25. Epub 2021 Apr 25.

Department of Preventive Medicine. Hospital Universitario de La Princesa, Madrid, Spain.

Background: Aortic stenosis is one of the most prevalent valve diseases but is rarely accompanied by tricuspid regurgitation. Our objective was to analyse the impact of tricuspid regurgitation severity and its surgical treatment on prognosis of patients undergoing aortic valve replacement.

Methods: Retrospective cohort study including all patients presenting with aortic stenosis with some degree of tricuspid regurgitation between 2001 and 2018. Read More

J Electrocardiol 2021 Apr 16;66:114-121. Epub 2021 Apr 16.

Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Japan.

Background: Atrial fibrillation (AF) induces functional mitral regurgitation (FMR) and tricuspid regurgitation (FTR) during atrial remodeling. FMR and FTR are associated with AF prognosis, but the effects for AF recurrence after ablation have not been determined conclusively.

Methods: Two hundred thirty nine patients who underwent AF ablation were enrolled. Read More

Multimed Man Cardiothorac Surg 2021 03 8;2021. Epub 2021 Mar 8.

University Hospital of Geneva University Hospital of Laussane Switzerland.

Dextro-transposition of the great vessels associated with pulmonary stenosis, double-outlet right ventricle, and straddling of the tricuspid valve is an uncommon condition. Several treatment options are available for this malformation, but most of them are not optimal. For patients with transposition of the great vessels, the gold standard procedure, which is an arterial switch procedure, would usually be performed, whereas for patients with pulmonary stenosis, a Rastelli operation or a Nikaidoh procedure would be proposed. Read More

Heart Lung Circ 2021 Apr 23. Epub 2021 Apr 23.

Izmir Ataturk Education and Research Hospital, Department of Cardiovascular Surgery, Izmir, Turkey.

Int J Cardiovasc Imaging 2021 Apr 25. Epub 2021 Apr 25.

Department of Cardiovascular Imaging - Centro, Cardiologico Fondazione Monzino IRCCS, via Carlo Parea 4, 20138, Milan, MI, Italy.

Patients with mitral valve prolapse (MVP), undergoing early surgery for severe regurgitation, are usually characterized by a low degree of right chambers' remodeling. In this selected population, the mechanisms leading to tricuspid annular (TA) dilatation (TAD) are not well understood. In this setting, we aimed to evaluate, using three-dimensional echocardiography (3DE), how right chambers affect TA size and might contribute to functional tricuspid regurgitation (FTR) progression. Read More

Eur Heart J Cardiovasc Imaging 2021 Apr 26. Epub 2021 Apr 26.

Department of Cardiothoracic Surgery and Anesthesiology, University Hospital, Uppsala, Sweden.

Aims: Valvular surgery has improved long-term prognosis in severe carcinoid heart disease (CaHD). Experience is limited and uncertainty remains about predictors for survival and strategy regarding single vs. double-valve surgery. Read More

J Surg Case Rep 2021 Apr 14;2021(4):rjab094. Epub 2021 Apr 14.

Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan.

The extraction of a pacemaker (PM) lead may cause tricuspid regurgitation; however, in cases of device infection, surgical intervention or immediate PM system replacement is undesirable in the short term to prevent reinfection. We describe a case where Micra leadless PM was used as a bridge procedure to ensure an adequate period for antibacterial therapy and later replaced with a permanent PM system in the setting of PM pocket infection. Read More

J Vet Cardiol 2021 Mar 24;35:90-100. Epub 2021 Mar 24.

Department of Small Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Blacksburg, VA, 24061, USA.

Introduction: Echocardiographically identified pulmonary hypertension is an independent predictor of poor outcome in dogs affected by myxomatous valvular degeneration (MMVD). Systolic pulmonary arterial pressure is routinely estimated based on its relationship with the Doppler-determined velocity of tricuspid regurgitation as defined by the simplified Bernoulli equation (sPAP_D). Experimental studies suggest that the method is imperfect, but its accuracy in dogs with MMVD is not known. Read More

Heart 2021 May;107(10):e4

BMC Vet Res 2021 Apr 23;17(1):171. Epub 2021 Apr 23.

Laboratory of Physiology and Pharmacology, Faculty of Medicine, Université Libre de Bruxelles, 1070, Brussels, Belgium.

Background: Pulmonary hypertension (PH) is a known co-morbidity in West Highland white terriers (WHWTs) affected with canine idiopathic pulmonary fibrosis (CIPF). The pulmonary vein-to-right pulmonary artery ratio (PV/PA) has recently been described for the detection of pre-capillary PH in dogs. The objective of the present study was to estimate the prevalence of PH at diagnostic, in WHWTs affected with CIPF, by using PV/PA, in comparison with a group of healthy breed-matched controls (CTRLs). Read More

Pacing Clin Electrophysiol 2021 Apr 23. Epub 2021 Apr 23.

Department of Cardiology, Policlinico Casilino of, Rome, Rome, Italy.

Background: His-Bundle pacing (HBP) is an emerging technique for physiological pacing. However, its effects on right ventricle (RV) performance are still unknown.

Methods: We enrolled consecutive patients with an indication for pacemaker (PM) implantation to compare HBP versus RV pacing (RVP) effects on RV performance. Read More

BMC Cardiovasc Disord 2021 Apr 21;21(1):199. Epub 2021 Apr 21.

Heart Institute, Emek Medical Center, Afula, Israel.

Background: Functional tricuspid regurgitation (FTR) is common in left-sided heart pathology involving the mitral valve. The incidence, clinical impact, risk factors, and natural history of FTR in the setting of ischemic mitral regurgitation (IMR) are less known.

Method: We conducted a cohort study based on data collected from January 2012 to December 2014. Read More

Eur J Cardiothorac Surg 2021 Apr 21. Epub 2021 Apr 21.

Department of Surgery and Cancer, Imperial College London, London, UK.

Objectives: Mitral and tricuspid ring annuloplasty dehiscence with consequent recurrent valve regurgitation is a rare but challenging procedural failure. The incidence and predisposing risk factors for annuloplasty ring dehiscence include technical and pathological ones.

Methods: A systematic database search with pooled analysis was conducted of original articles that only included dehiscence rate of mitral and tricuspid ring in EMBASE, MEDLINE, Cochrane database and Google Scholar, from inception to November 2020. Read More