1,899 results match your criteria Tricuspid Valve Disease Imaging


Hand-held echocardiography in children with hypoplastic left heart syndrome.

Congenit Heart Dis 2019 Apr 11. Epub 2019 Apr 11.

Section of Pediatric Cardiology, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.

Background: When performed by cardiologists, hand-held echocardiography (HHE) can assess ventricular systolic function and valve disease in adults, but its accuracy and utility in congenital heart disease is unknown. In hypoplastic left heart syndrome (HLHS), the echocardiographic detection of depressed right ventricular (RV) systolic function and higher grade tricuspid regurgitation (TR) can identify patients who are at increased risk of morbidity and mortality and who may benefit from additional imaging or medical therapies.

Methods: Children with HLHS after Stage I or II surgical palliation (Norwood or Glenn procedures) were prospectively enrolled. Read More

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http://dx.doi.org/10.1111/chd.12774DOI Listing
April 2019
1 Read

Phenotypes of aortic valve disease according to detailed anatomical classification of patients who underwent aortic valve replacement surgery.

Cardiovasc Pathol 2019 Jan 19;41:1-7. Epub 2019 Jan 19.

National Clinical Research Center of Cardiovascular Diseases, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China; Department of Cardiovascular Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China. Electronic address:

Background: The anatomy of the aortic valves plays an important role in the progression of aortic valve disease (AVD) and determination of the appropriate treatment strategy. We described and compared AVD phenotypes according to detailed anatomical classifications and assessed the accuracy of imaging diagnostics using surgical diagnosis as the gold standard.

Methods And Results: The study enrolled 602 patients (mean age 55. Read More

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http://dx.doi.org/10.1016/j.carpath.2019.01.004DOI Listing
January 2019
4 Reads
2.336 Impact Factor

Tricuspid Valve Imaging and Intervention in Pediatric and Adult Patients With Congenital Heart Disease.

JACC Cardiovasc Imaging 2019 Apr;12(4):637-651

Division of Pediatric Cardiology, Mayo Clinic, Rochester, Minnesota; Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota. Electronic address:

Tricuspid valve abnormalities in congenital heart disease comprise a wide spectrum, with the most common being Ebstein anomaly and tricuspid valve dysplasia. Tricuspid valve dysfunction may also be secondary to other types of congenital heart disease, including functional tricuspid regurgitation seen in right heart volume overload conditions, such as atrial septal defect and repaired tetralogy of Fallot with severe pulmonary valve regurgitation. Congenitally corrected transposition and Mustard and Senning procedures maintain the right ventricle as the systemic ventricle, and the tricuspid valve is subject to unique hemodynamic stress not typically seen in normal circulation. Read More

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http://dx.doi.org/10.1016/j.jcmg.2018.10.036DOI Listing
April 2019
2 Reads

Tricuspid Regurgitation: Predicting the Need for Intervention, Procedural Success, and Recurrence of Disease.

JACC Cardiovasc Imaging 2019 Apr;12(4):605-621

NewYork-Presbyterian Hospital, Columbia University Medical Center, New York, New York.

Interest in tricuspid valve pathology has rapidly expanded in response to reported poor clinical outcome for functional tricuspid regurgitation and the limited indications and options for treatment. In the past few years, different transcatheter technologies have emerged as alternatives to conventional surgery to serve this untreated high-risk population. In this review, the authors explore the indications for intervention in tricuspid regurgitation according to current guidelines, the published research to support the expansion of these indications including the role of transcatheter interventions, and the risk factors for therapy failure, which may help define the appropriate patient population for treatment. Read More

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http://dx.doi.org/10.1016/j.jcmg.2018.11.034DOI Listing
April 2019
2 Reads

The 1, 2, 3, 4 of carcinoid heart disease: Comprehensive cardiovascular imaging is the mainstay of complex surgical treatment.

Oncol Lett 2019 May 19;17(5):4126-4132. Epub 2018 Nov 19.

Department of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

Carcinoid heart disease (CHD) is a rare complication of neuroendocrine tumors, most commonly involving the tricuspid and pulmonary valves. The mitral and aortic valves can also be affected, albeit rarely, in certain circumstances such as the presence of a patent foramen ovale. Transthoracic echocardiogram is generally considered the key imaging modality, but cardiac magnetic resonance can add valuable information, particularly in the assessment of pulmonary valve function or multivalvular disease. Read More

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http://dx.doi.org/10.3892/ol.2018.9732DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444330PMC
May 2019
5 Reads

Increased rotational flow in the proximal aortic arch is associated with its dilation in bicuspid aortic valve disease.

Eur Heart J Cardiovasc Imaging 2019 Mar 28. Epub 2019 Mar 28.

Department of Cardiology, CIBER-CV, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.

Aims: Aortic dilation in bicuspid aortic valve (BAV) might extend to the proximal arch. Arch flow dynamics and their relationship with this segment dilation are still unexplored. Using 4D-flow cardiovascular magnetic resonance, we analysed flow dynamics in the arch for each BAV morphotype and their association with this segment dilation. Read More

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http://dx.doi.org/10.1093/ehjci/jez046DOI Listing
March 2019
1 Read

Tricuspid annular diameter and right ventricular volume on preoperative cardiac CT can predict postoperative right ventricular dysfunction in patients who undergo tricuspid valve surgery.

Int J Cardiol 2019 Mar 5. Epub 2019 Mar 5.

Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Republic of Korea. Electronic address:

Background: We investigated the predictive value of preoperative computed tomography (CT)-derived tricuspid annular and right ventricular (RV) parameters for postoperative RV dysfunction in patients undergoing tricuspid valve (TV) surgery.

Methods: We retrospectively reviewed clinical, transthoracic echocardiography (TTE), and CT data of 100 consecutive patients who underwent cardiac CT and subsequently received TV surgery. Preoperative cardiac CT and TTE parameters were analyzed, including TV annulus diameter and RV size. Read More

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http://dx.doi.org/10.1016/j.ijcard.2019.03.002DOI Listing
March 2019
1 Read

Right Ventricular Strain.

Circ Cardiovasc Imaging 2019 Mar;12(3):e008862

Division of Cardiology, Montefiore Medical Center, Bronx, NY, and Albert Einstein College of Medicine, Bronx, NY.

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http://dx.doi.org/10.1161/CIRCIMAGING.119.008862DOI Listing
March 2019
4 Reads

Multimodality imaging in ischaemic heart failure.

Lancet 2019 03;393(10175):1056-1070

Department of Cardiology, Leiden University Medical Center, Leiden, Netherlands.

In heart failure, extensive evaluation with modern non-invasive imaging modalities is needed to assess causes, pathophysiology, and haemodynamics, to determine prognosis and consider therapeutic options. This systematic evaluation includes a stepwise assessment of left ventricular size and function, the presence and severity of coronary artery disease, mitral regurgitation, pulmonary hypertension, right ventricular dilation and dysfunction, and tricuspid regurgitation. Based on this imaging-derived information, the need for specific therapies besides optimised medical therapy can be determined. Read More

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http://dx.doi.org/10.1016/S0140-6736(18)33207-0DOI Listing
March 2019
6 Reads

Morphologic Types of Tricuspid Regurgitation: Characteristics and Prognostic Implications.

JACC Cardiovasc Imaging 2019 Mar;12(3):491-499

Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands. Electronic address:

Tricuspid regurgitation (TR) is classified according to different morphologic types based on the underlying mechanisms: primary, secondary, and isolated TR. Primary TR is caused by an anatomical abnormality of the tricuspid valve apparatus. Secondary TR is caused by dilation of the tricuspid valve annulus, related to right ventricular (RV), or right atrial remodeling and increased RV pressures (often secondary to left-sided heart disease). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1936878X193010
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http://dx.doi.org/10.1016/j.jcmg.2018.09.027DOI Listing
March 2019
4 Reads

Misclassification of bicuspid aortic valves is common and varies by imaging modality and patient characteristics.

Echocardiography 2019 04 4;36(4):761-765. Epub 2019 Mar 4.

Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas.

Background: Bicuspid aortic valve (BAV) is the most prevalent adult congenital heart defect. BAV causes lifelong progressive disease that can be prevented by early diagnosis and long-term surveillance, but may be compromised by misclassification of valve morphology.

Methods: The study population was derived from the UTHealth Bicuspid Aortic Valve Registry, which includes serial images on more than 200 participants over a mean follow-up interval of 2. Read More

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http://dx.doi.org/10.1111/echo.14295DOI Listing
April 2019
2 Reads

Carcinoid Heart Disease: Review of Current Knowledge.

Tex Heart Inst J 2019 02 1;46(1):21-27. Epub 2019 Feb 1.

Carcinoid heart disease is the collective term for all cardiac manifestations in patients who have carcinoid syndrome. Carcinoid heart disease has a multifactorial pathophysiology, and the right side of the heart is usually involved. Symptoms and signs vary depending upon the affected cardiac components; most typical is right-sided heart failure secondary to diseased tricuspid and pulmonary valves. Read More

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http://dx.doi.org/10.14503/THIJ-17-6562DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378997PMC
February 2019
1 Read

Clinical Evaluation of Exercise Capacity in Adults with Systemic Right Ventricle.

Tex Heart Inst J 2019 02 1;46(1):14-20. Epub 2019 Feb 1.

The right ventricle provides systemic circulation in individuals with congenitally corrected transposition of the great arteries (CCTGA) and in those with complete transposition who have had an atrial switch repair (DTGA). The aim of this study was to evaluate how the systemic right ventricle adapts to increased workload and oxygen demand during exercise. From November 2005 through December 2015, 3,358 adult patients with congenital heart disease were treated at our institution; we identified 48 (26 females, 22 males; median age, 25. Read More

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http://dx.doi.org/10.14503/THIJ-17-6408DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379015PMC
February 2019
6 Reads

Valve Disease in Heart Failure: Secondary but Not Irrelevant.

Heart Fail Clin 2019 Apr 10;15(2):219-227. Epub 2019 Feb 10.

King's Health Partners, King's College Hospital NHS Foundation Trust, King's College Hospital, Denmark Hill, London SE5 9RS, UK.

Secondary regurgitation caused by the remodeling and dysfunction of the left or right heart chamber may complicate heart failure, worsening both symptoms and prognosis. Outcome studies have shown that patients' prognosis worsened as the severity of secondary regurgitation increases. Imaging and more specifically echocardiography plays a central role for diagnosis and serial assessment of secondary regurgitation as well as for timing the intervention and guiding the procedure. Read More

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http://dx.doi.org/10.1016/j.hfc.2018.12.014DOI Listing
April 2019
1 Read

Mid-term outcome of severe tricuspid regurgitation: are there any differences according to mechanism and severity?

Eur Heart J Cardiovasc Imaging 2019 Mar 4. Epub 2019 Mar 4.

Cardiac Imaging Unit, Cardiology Department, Ramón y Cajal University Hospital, Carretera de Colmenar Km 9, 100, Madrid, Madrid, Spain.

Aims: Patients with significant tricuspid regurgitation (TR) addressed according the new classification in torrential TR may have different prognosis compared with just severe TR patients. We sought to determine distribution and mechanism of consecutive severe TR patients, in accordance with aetiology and severity by applying the new proposed classification scheme and their long-term outcomes.

Methods And Results: Between January and December 2013, 249 patients with significant TR referred to the cardiac imaging unit (mean age 79. Read More

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http://dx.doi.org/10.1093/ehjci/jez024DOI Listing
March 2019
5 Reads

Dynamic Three-Dimensional Geometry of the Tricuspid Valve Annulus in Hypoplastic Left Heart Syndrome with a Fontan Circulation.

J Am Soc Echocardiogr 2019 Feb 27. Epub 2019 Feb 27.

Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Division of Pediatric Cardiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Electronic address:

Background: Tricuspid regurgitation (TR) is a significant contributor to morbidity and mortality in patients with hypoplastic left heart syndrome. The goal of this study was to characterize the dynamic annular motion of the tricuspid valve in patients with HLHS with a Fontan circulation and assess the relation to tricuspid valve function.

Methods: Tricuspid annuli of 48 patients with HLHS with a Fontan circulation were modeled at end-diastole, mid-systole, end-systole, and mid-diastole using transthoracic three-dimensional echocardiography and custom code in 3D Slicer. Read More

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http://dx.doi.org/10.1016/j.echo.2019.01.002DOI Listing
February 2019
1 Read

Echocardiography and monitoring patients receiving dopamine agonist therapy for hyperprolactinaemia: a joint position statement of the British Society of Echocardiography, the British Heart Valve Society and the Society for Endocrinology.

Echo Res Pract 2019 Mar;6(1):G1-G8

Department of Endocrinology, Bartholomew's Hospital, London, UK.

This is a joint position statement of the British Society of Echocardiography, the British Heart Valve Society and the Society for Endocrinology on the role of echocardiography in monitoring patients receiving dopamine agonist (DA) therapy for hyperprolactinaemia. (1) Evidence that DA pharmacotherapy causes abnormal valve morphology and dysfunction at doses used in the management of hyperprolactinaemia is extremely limited. Evidence of clinically significant valve pathology is absent, except for isolated case reports around which questions remain. Read More

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http://dx.doi.org/10.1530/ERP-18-0069DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391931PMC
March 2019
1 Read

Echocardiography and monitoring patients receiving dopamine agonist therapy for hyperprolactinaemia: A joint position statement of the British Society of Echocardiography, the British Heart Valve Society and the Society for Endocrinology.

Clin Endocrinol (Oxf) 2019 May 28;90(5):662-669. Epub 2019 Feb 28.

Department of Endocrinology, Bartholomew's Hospital, London, UK.

This is a joint position statement of the British Society of Echocardiography, the British Heart Valve Society and the Society for Endocrinology on the role of echocardiography in monitoring patients receiving dopamine agonist (DA) therapy for hyperprolactinaemia. Evidence that DA pharmacotherapy causes abnormal valve morphology and dysfunction at doses used in the management of hyperprolactinaemia is extremely limited. Evidence of clinically significant valve pathology is absent, except for isolated case reports around which questions remain. Read More

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http://dx.doi.org/10.1111/cen.13940DOI Listing
May 2019
1 Read

Bidirectional flow across a perforate cor triatriatum dexter in a dog with concurrent pulmonary, tricuspid, and mitral valve dysplasia.

J Vet Cardiol 2019 Feb 25;21:93-97. Epub 2019 Jan 25.

Department of Clinical Sciences, Colorado State University, 300 W Drake Rd., Fort Collins, CO 80523, USA.

A 10-week-old male intact mixed breed dog presented for evaluation of suspected right-sided congestive heart failure. Echocardiographic imaging revealed a perforate cor triatriatum dexter (CTD), along with pulmonary valve stenosis and tricuspid and mitral valve dysplasia. In typical CTD cases, there is unidirectional blood flow across the dividing membrane, from the caudal into the cranial right atrial chambers. Read More

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http://dx.doi.org/10.1016/j.jvc.2018.12.002DOI Listing
February 2019
2 Reads

Aortocavitary fistula secondary to vegetative endocarditis in a rabbit.

J Vet Cardiol 2019 Feb 13;21:49-56. Epub 2018 Dec 13.

Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, 2015 Linden Dr., Madison, WI 53706, USA.

A 4-year-old intact male mini lop rabbit (Oryctolagus cuniculus) was presented with a 2-week history of severe progressive lethargy. A right parasternal continuous heart murmur and an irregular rhythm were detected on physical examination. Echocardiography identified vegetative aortic and tricuspid valve (TV) endocarditis. Read More

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http://dx.doi.org/10.1016/j.jvc.2018.08.003DOI Listing
February 2019
1 Read

Association between atrial fibrillation and right-sided manifestations of congestive heart failure in dogs with degenerative mitral valve disease or dilated cardiomyopathy.

J Vet Cardiol 2019 Feb 11;21:18-27. Epub 2018 Dec 11.

Department of Veterinary Pathology, College of Veterinary Medicine, Iowa State University, 1809 S. Riverside Drive, Ames, IA 50011, USA.

Introduction: To determine whether dogs with atrial fibrillation (AF) are more likely to develop right-sided manifestations of congestive heart failure (R-CHF) than dogs without AF.

Animals: Two hundred twenty dogs diagnosed with congestive heart failure (CHF) secondary to degenerative mitral valve disease (DMVD, n = 155) or dilated cardiomyopathy (DCM, n = 65) at a referral institution.

Methods: Medical records were reviewed to extract relevant clinical and echocardiographic data. Read More

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http://dx.doi.org/10.1016/j.jvc.2018.10.006DOI Listing
February 2019
2 Reads

Tricuspid Papillary Fibroelastoma at Multimodal Imaging.

J Cardiovasc Echogr 2018 Oct-Dec;28(4):236-238

Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.

Papillary fibroelastoma is a rare benign cardiac tumor, second after cardiac myxoma as more frequent cardiac valvular tumor. The therapy is usually based on surgery according to size, mobility, symptoms, and risks of surgery. We report the case of a 67-year old female with transient ischemic attack. Read More

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http://www.jcecho.org/text.asp?2018/28/4/236/248413
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http://dx.doi.org/10.4103/jcecho.jcecho_48_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341851PMC
February 2019
11 Reads

Predictive Roles of Neutrophil-to-Lymphocyte Ratio and C-Reactive Protein in Patients with Calcific Aortic Valve Disease.

Int Heart J 2019 Mar 8;60(2):345-351. Epub 2019 Feb 8.

Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliated to Shandong University.

The neutrophil-to-lymphocyte ratio (NLR) and C-reactive protein (CRP) are emerging indirect blood markers to roughly reflect the inflammation level in our body while some pathological changes occurring in aortic valve tissue. Few recent studies demonstrated that NLR is related to calcific aortic valve disease (CAVD). However, the extent of the relationship between them and the impact of CRP on CAVD are not clear. Read More

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http://dx.doi.org/10.1536/ihj.18-196DOI Listing
March 2019
2 Reads

Isolated Pulmonic Valve Endocarditis.

Am J Case Rep 2019 Feb 4;20:151-153. Epub 2019 Feb 4.

Department of Medicine, Maimonides Medical Center, Brooklyn, NY, USA.

BACKGROUND Infective endocarditis (IE) has a high mortality rate, even when treated with appropriate antibiotic therapy and surgical intervention. Right-sided endocarditis is in itself rare, with some studies reporting an incidence of 5-10%. The majority of these cases involve the tricuspid valve, and isolated pulmonary valve endocarditis (PVE) is an extremely rare entity affecting less than 2% of patients with infective endocarditis. Read More

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http://dx.doi.org/10.12659/AJCR.913041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369649PMC
February 2019
1 Read

Transcatheter closure of a large para-annular leak using a vascular plug following Cone repair of the tricuspid valve.

Eur Heart J Cardiovasc Imaging 2019 03;20(3):369

Paediatric Cardiology and Cardiac Surgery Services, Royal Brompton and Harefield NHS Trust Foundation, Sydney Street, London, UK.

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http://dx.doi.org/10.1093/ehjci/jey198DOI Listing
March 2019
12 Reads

Feasibility, safety, and short-term outcome of totally thoracoscopic mitral valve procedure.

J Cardiothorac Surg 2018 Dec 29;13(1):133. Epub 2018 Dec 29.

Department of Cardiac Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, China.

Background: The totally thoracoscopic procedure for mitral valve (MV) disease is a minimally invasive method. We investigated the procedure's feasibility, safety and effectiveness when it was performed by an experienced operator.

Methods: We retrospectively analysed 53 consecutive patients with MV disease treated between December 2014 and April 2017 by minimally invasive procedures. Read More

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http://dx.doi.org/10.1186/s13019-018-0819-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310972PMC
December 2018
13 Reads

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.

Echocardiography 2019 01 28;36(1):150-163. Epub 2018 Dec 28.

Division of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham, Alabama.

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 two-dimensional 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. Read More

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http://doi.wiley.com/10.1111/echo.14230
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http://dx.doi.org/10.1111/echo.14230DOI Listing
January 2019
3 Reads

Comparative mechanical, morphological, and microstructural characterization of porcine mitral and tricuspid leaflets and chordae tendineae.

Acta Biomater 2019 Feb 21;85:241-252. Epub 2018 Dec 21.

The Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA. Electronic address:

Background: Healthy function of tricuspid valve (TV) structures is essential to avoid tricuspid regurgitation (TR) and may significantly improve disease prognosis. Mitral valve (MV) structures have been extensively studied, but little is known about the TV and right-sided heart diseases. Therefore, clinical decisions and finite element (FE) simulations often rely heavily on MV data for TV applications, despite fundamentally different mechanical and physiological environments. Read More

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http://dx.doi.org/10.1016/j.actbio.2018.12.029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344049PMC
February 2019
2 Reads

Preoperative predictability of right ventricular failure following surgery for Ebstein's anomaly.

Eur J Cardiothorac Surg 2018 Dec 15. Epub 2018 Dec 15.

Department of Cardiovascular Surgery, German Heart Centre Munich at the Technical University Munich, Munich, Germany.

Objectives: Postoperative right ventricular (RV) failure is a severe complication after tricuspid valve (TV) surgery in patients with Ebstein's anomaly. We investigated the preoperative predictability of postoperative mortality and morbidity by assessing the influence of age, RV size and RV function on in-hospital mortality and on the clinical course during the intensive care unit (ICU) stay.

Methods: We retrospectively analysed 189 patients who had undergone TV surgery for Ebstein's anomaly at our centre. Read More

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http://dx.doi.org/10.1093/ejcts/ezy425DOI Listing
December 2018
4 Reads

Prognostic Value of Time Interval Between Mitral and Tricuspid Valve Opening in Patients With Heart Failure.

Circ J 2019 Jan 14;83(2):401-409. Epub 2018 Dec 14.

Cardiovascular Division, Department of Internal Medicine, Hyogo College of Medicine.

Background: We used dual Doppler echocardiography to measure the time interval between the mitral and tricuspid valve opening (MO-TO time), which we expected would reflect the balance between left and right ventricular hemodynamics. Methods and Results: We prospectively enrolled 60 patients with heart failure (HF) and sinus rhythm. The MO-TO time was measured in addition to routine echocardiography parameters, invasive hemodynamic parameters and plasma B-type natriuretic peptide (BNP) level in all patients. Read More

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http://dx.doi.org/10.1253/circj.CJ-18-0999DOI Listing
January 2019
1 Read

Minimally invasive triple valve surgery: The Rome approach.

Multimed Man Cardiothorac Surg 2018 Dec 4;2018. Epub 2018 Dec 4.

Department of Cardiac Surgery and Transplantation, S. Camillo Hospital, Rome, Italy.

Although the benefits of minimally invasive cardiac surgery are well recognized, most surgeons have little experience in the treatment of triple valve disease through a minithoracotomy approach. In this video tutorial, we present a case of concomitant aortic valve replacement with mitral and tricuspid valve repair through a lateral minithoracotomy. Read More

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http://dx.doi.org/10.1510/mmcts.2018.056DOI Listing
December 2018
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Initial results from the off-label use of the SAPIEN S3 valve for percutaneous transcatheter pulmonary valve replacement: A multi-institutional experience.

Catheter Cardiovasc Interv 2019 Feb 7;93(3):455-463. Epub 2018 Dec 7.

Department of Pediatrics, Division of Cardiology, UCLA Mattel Children's Hospital, Los Angeles, California.

Objectives: To describe a multi-center experience of percutaneous transcatheter pulmonary valve replacement (TPVR) using the Edwards Sapien S3 Valve.

Background: Off-label use of the Sapien S3 valve can allow for TPVR in patients with congenital heart disease (CHD) and large diameter dysfunctional right ventricular outflow tract (RVOT). The initial experience at five centers with the SAPIEN S3 valve for TPVR is presented with a focus on procedural techniques, success, complications, and efficacy. Read More

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http://dx.doi.org/10.1002/ccd.27973DOI Listing
February 2019
5 Reads

An atypical case of pulmonary embolism from a jugular vein.

Echo Res Pract 2018 Dec;5(4):K67-K72

University of Medicine and Pharmacy, Carol Davila, Bucharest, Romania.

Neck venous malformations and their potentially life-threatening complications are rarely reported in the available literature. Cases of aneurysmal or hypo-plastic jugular vein thrombosis associated with systemic embolization have not been frequently reported. We present the case of a 60-year-old male, without any known risk factors for thromboembolic disease, admitted for sudden onset dyspnea. Read More

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https://erp.bioscientifica.com/view/journals/echo/5/4/ERP-18
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http://dx.doi.org/10.1530/ERP-18-0029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280251PMC
December 2018
18 Reads

Insight on patient specific computer modeling of transcatheter aortic valve implantation in patients with bicuspid aortic valve disease.

Catheter Cardiovasc Interv 2018 Nov 20. Epub 2018 Nov 20.

St Antonius Hospital, Nieuwegein, The Netherlands.

Objective: The aim of this study was to describe the early use of dedicated patient specific computer modeling in patients with bicuspid aortic valve (BAV) undergoing transcatheter aortic valve implantation (TAVI), in predicting procedure feasibility and patient related outcome.

Background: Dedicated patient specific computer modeling, used for optimizing TAVI procedures, is currently validated for the prediction of contact pressure, valve morphology and paravalvular leakage (PVL). The simulation of TAVI procedures is increasingly used in patients with tricuspid aortic valve stenosis. Read More

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http://dx.doi.org/10.1002/ccd.27990DOI Listing
November 2018
11 Reads

Echocardiographic Assessment of the Tricuspid Annulus: The Effects of the Third Dimension and Measurement Methodology.

J Am Soc Echocardiogr 2019 Feb 17;32(2):238-247. Epub 2018 Nov 17.

Cardiac Imaging Center, University of Chicago Medical Center, Chicago, Illinois.

Background: Evaluation of the tricuspid annulus is crucial for the decision making at the time of left heart surgery. Current recommendations for tricuspid valve repair are based on two-dimensional (2D) transthoracic echocardiography (TTE), despite the known underestimation compared with three-dimensional (3D) echocardiography. However, little is known about the differences in 3D tricuspid annular (TA) sizing using TTE versus transesophageal echocardiography (TEE). Read More

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http://dx.doi.org/10.1016/j.echo.2018.09.008DOI Listing
February 2019
17 Reads

Doppler-Echocardiographic Assessment of Tricuspid Regurgitation.

Prog Cardiovasc Dis 2018 Nov - Dec;61(5-6):397-403. Epub 2018 Nov 14.

The Division of Cardiology, Mayo College of Medicine, Mayo Clinic, Rochester, MN, United States of America.

Compared with the vast literature concerning the echocardiographic assessment of mitral, or aortic disease, the data concerning the evaluation of tricuspid regurgitation (TR) is very limited. In this review we summarized the present data concerning the assessment of TR. We review the present knowledge concerning the pathogenesis of TR showing that it is extremely multi-factorial, thus, when assessing patients with TR by echocardiography it is imperative to focus on four major aspects: evaluation of severity of TR, assessment of the etiology of TR, evaluation of the mechanism of TR and suitability for surgical or per-cutaneous repair. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00330620183022
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http://dx.doi.org/10.1016/j.pcad.2018.11.008DOI Listing
January 2019
21 Reads

Impact of right heart function on outcome in patients with functional mitral regurgitation and chronic heart failure undergoing percutaneous edge-to-edge-repair.

J Interv Cardiol 2018 Dec 5;31(6):916-924. Epub 2018 Nov 5.

Institut für Herz- und Kreislaufforschung am Klinikum Links der Weser Bremen (BIHKF), Bremen, Germany.

Aims: To evaluate the impact of right ventricular dysfunction (RVD) on outcome after transcatheter mitral valve repair (TMVR) in patients with chronic heart failure (CHF) and severe functional mitral regurgitation (FMR).

Methods And Results: One hundred thirty patients (median age 72.7 ± 10. Read More

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http://doi.wiley.com/10.1111/joic.12566
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http://dx.doi.org/10.1111/joic.12566DOI Listing
December 2018
33 Reads

Bilateral Immediate Sequential Vitrectomy and Lensectomy for Bilateral Lens Dislocation in Severe Neonatal Marfan Syndrome.

Ophthalmic Surg Lasers Imaging Retina 2018 10;49(10):e151-e153

A newborn with severe neonatal Marfan syndrome (NMS), characterized by aortic root dilation, mitral and tricuspid valve regurgitation, diaphragmatic eventration with respiratory distress, intestinal malrotation, and various skeletal abnormalities, developed bilateral pupillary block from luxated crystalline lenses. He underwent bilateral immediate sequential vitrectomy and lensectomy to prevent further episodes of pupillary block. Bilateral surgery was performed due to the extremely high anesthesia risk. Read More

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http://dx.doi.org/10.3928/23258160-20181002-19DOI Listing
October 2018
1 Read

Dynamic fetal cardiac magnetic resonance four chamber view imaging using Doppler ultrasound gating in the normal fetal heart and in congenital heart disease: comparison to fetal echocardiography.

Ultrasound Obstet Gynecol 2018 Oct 31. Epub 2018 Oct 31.

University Medical Center Hamburg-Eppendorf, Department of Diagnostic and Interventional Radiology and Nuclear Medicine, Martinistraße 52 20246, Hamburg, Germany.

Objectives: To investigate the diagnostic performance of dynamic fetal cardiac MRI using a MR compatible Doppler Ultrasound (DUS) device for fetal cardiac gating to differentiate normal fetal hearts from fetuses with congenital heart disease in comparison to fetal echocardiography.

Methods: This was a prospective study including 8 fetuses with a normal heart and four with a congenital heart defect (CHD) at a median of 34 weeks (range 28 - 36). Dynamic fetal cardiac MRI was performed using a DUS device for direct cardiac gating. Read More

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http://doi.wiley.com/10.1002/uog.20167
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http://dx.doi.org/10.1002/uog.20167DOI Listing
October 2018
1 Read

Automated Cardiac Valve Tracking for Flow Quantification with Four-dimensional Flow MRI.

Radiology 2019 Jan 30;290(1):70-78. Epub 2018 Oct 30.

From the Department of Pediatrics, Division of Pediatric Cardiology (V.P.K., A.A.W.R.), Department of Radiology (P.J.v.d.B., L.J.M.K., A.d.R., H.J.L., J.J.M.W.), and Department of Cardiology (N.A.M., J.J.B.), Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, the Netherlands; Netherlands Heart Institute, Utrecht, the Netherlands (V.P.K.); and Pie Medical Imaging BV, Maastricht, the Netherlands (J.P.A.).

Purpose To compare four-dimensional flow MRI with automated valve tracking to manual valve tracking in patients with acquired or congenital heart disease and healthy volunteers. Materials and Methods In this retrospective study, data were collected from 114 patients and 46 volunteers who underwent four-dimensional flow MRI at 1.5 T or 3. Read More

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http://dx.doi.org/10.1148/radiol.2018180807DOI Listing
January 2019
20 Reads

Aortic arch tortuosity, a novel biomarker for thoracic aortic disease, is increased in adults with bicuspid aortic valve.

Int J Cardiol 2019 Jun 17;284:84-89. Epub 2018 Oct 17.

Department of Internal Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, 6431 Fannin Street, MSB 1.150, Houston, TX 77030, USA. Electronic address:

Introduction: Arterial tortuosity has emerged as a predictor of adverse outcomes in congenital aortopathies using 3D reconstructed images. We validated a new method to estimate aortic arch tortuosity on 2D CT. We hypothesize that arch tortuosity may identify bicuspid aortic valve (BAV) patients at high risk to develop thoracic aortic aneurysms or aortic dissections (TAD). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01675273183481
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http://dx.doi.org/10.1016/j.ijcard.2018.10.052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436988PMC
June 2019
25 Reads

SAPIEN valve for percutaneous transcatheter pulmonary valve replacement without "pre-stenting": A multi-institutional experience.

Catheter Cardiovasc Interv 2019 Feb 23;93(2):324-329. Epub 2018 Oct 23.

Department of Pediatrics, Division of Cardiology, UCLA Mattel Children's Hospital, Los Angeles, California.

Objectives: To describe a multicenter experience of percutaneous transcatheter pulmonary valve replacement (TPVR) using the Edwards SAPIEN S3 valve without the use of a prior stent ("pre-stenting").

Background: The SAPIEN S3 and XT valves have durable cobalt-chromium stent frames which may allow for TPVR in large diameter dysfunctional right ventricular outflow tracts (RVOTs) without pre-stenting the landing zone.

Methods: A retrospective review was performed of all patients with Congenital Heart Disease and dysfunctional RVOT who underwent TPVR using the SAPIEN valve without the use of a pre-stent. Read More

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http://dx.doi.org/10.1002/ccd.27932DOI Listing
February 2019
19 Reads

Incidentally detected right aortic arch with mirror image branching in a patient with rheumatic calcific mitral valve disease.

Natl Med J India 2018 Jan-Feb;31(1):22-23

Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram 695011, Kerala, India.

An isolated right-sided aortic arch with no congenital heart disease is extremely rare. We report an adult woman with longstanding rheumatic heart disease causing severe calcific mitral stenosis, moderate mitral regurgitation and moderate pulmonary hypertension, for which she underwent mitral valve replacement and tricuspid annuloplasty. On preoperative work-up, she was detected to have a right-sided aortic arch with mirror image branching along with a ductal dimple. Read More

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http://dx.doi.org/10.4103/0970-258X.243408DOI Listing
October 2018
3 Reads

Imaging-based tricuspid valve anatomy by computed tomography, magnetic resonance imaging, two and three-dimensional echocardiography: correlation with anatomic specimen.

Eur Heart J Cardiovasc Imaging 2019 01;20(1):1-13

Cardiac Morphology Unit, Royal Brompton Hospital and Imperial College, Sydney St, Chelsea, London, UK.

Interest on tricuspid valve (TV) (and hence in TV anatomy) has increased in the last two decades with the awareness that functional tricuspid regurgitation (FTR) is an insidious disease progressively leading to untreatable right heart failure and eventually to death. Medical therapy may alleviate symptoms, while surgical therapy may improve outcome but it is associated with high mortality and recurrence of significant regurgitation. Nowadays, an increasing number of left valve diseases are successfully treated through a percutaneous transcatheter approach. Read More

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https://academic.oup.com/ehjcimaging/advance-article/doi/10.
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http://dx.doi.org/10.1093/ehjci/jey136DOI Listing
January 2019
21 Reads

Chronic thromboembolic pulmonary hypertension as the first manifestation of nephrotic syndrome in a 12-year-old child.

Medicine (Baltimore) 2018 Oct;97(41):e12349

Department of Pediatric Cardiology, West China Second University Hospital, Sichuan University.

Rationale: Chronic thromboembolic pulmonary hypertension (CTEPH) is rare in children and determining the underlying etiologies is essential for treatment. Venous thromboembolism, a well-known complication in nephrotic syndrome (NS), always occurrs during the treatment in course of the disease. However, CTEPH as the first manifestation of NS has not been reported till now. Read More

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http://dx.doi.org/10.1097/MD.0000000000012349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203542PMC
October 2018
19 Reads

Early and Midterm Outcomes of Rheumatic Mitral Valve Repair.

Heart Surg Forum 2018 Aug 14;21(5):E352-E358. Epub 2018 Aug 14.

Department of Cardiac Surgery, National Heart Institute, Cairo, Egypt.

Background: Rheumatic heart disease (RHD) is the leading cause of mitral valve disease in the developing world. In general, mitral valve repair is preferred over replacement. Although it is very successful in degenerative disease, its results in the rheumatic valve are not as successful as that for degenerative repair. Read More

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http://dx.doi.org/10.1532/hsf.1978DOI Listing
August 2018
4 Reads
0.562 Impact Factor

[Papillary Fibroelastoma of the Pulmonary and Tricuspid Valve in Asymptomatic Patients].

Dtsch Med Wochenschr 2018 10 4;143(20):1484-1488. Epub 2018 Oct 4.

Helios Kliniken Schwerin, Institut für Pathologie.

History: Case 1: admission to hospital of a 72-year-old male patient due to suspect tumor at the pulmonary valve. At admission the patient was hemodynamically stable with known coronary one vessel heart disease and arterial hypertension.Case 2: admission to hospital of a 74-year-old female patient due to symptoms of de novo angina pectoris with known coronary three vessel heart disease. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0645-8559
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http://dx.doi.org/10.1055/a-0645-8559DOI Listing
October 2018
5 Reads

Transcatheter Tricuspid Valve Replacement: Principles and Design.

Front Cardiovasc Med 2018 19;5:129. Epub 2018 Sep 19.

Interventional Cardiology Unit, Cardio-Thoracic-Vascular Department, San Raffaele Scientific Institute, Milan, Italy.

Tricuspid regurgitation (TR) may affect as much as 65-85% of the population with the prevalence of moderate-to-severe TR in the United States reported at greater than 1.6 million. However, only 8,000 tricuspid valve operations are performed annually in the United States. Read More

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https://www.frontiersin.org/article/10.3389/fcvm.2018.00129/
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http://dx.doi.org/10.3389/fcvm.2018.00129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156134PMC
September 2018
3 Reads

Altered biventricular hemodynamic forces in patients with repaired tetralogy of Fallot and right ventricular volume overload because of pulmonary regurgitation.

Am J Physiol Heart Circ Physiol 2018 Dec 28;315(6):H1691-H1702. Epub 2018 Sep 28.

Lund University, Department of Clinical Sciences, Lund, Clinical Physiology, Skåne University Hospital , Sweden.

Intracardiac hemodynamic forces have been proposed to influence remodeling and be a marker of ventricular dysfunction. We aimed to quantify the hemodynamic forces in patients with repaired tetralogy of Fallot (rToF) to further understand the pathophysiological mechanisms as this could be a potential marker for pulmonary valve replacement (PVR) in these patients. Patients with rToF and pulmonary regurgitation (PR) > 20% ( n = 18) and healthy control subjects ( n = 15) underwent MRI, including four-dimensional flow. Read More

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http://dx.doi.org/10.1152/ajpheart.00330.2018DOI Listing
December 2018
5 Reads

Haemodynamic assessment of bicuspid aortic valve aortopathy: a systematic review of the current literature.

Eur J Cardiothorac Surg 2019 Apr;55(4):610-617

Department of Cardiothoracic Surgery, St George's Hospital, London, UK.

Both genetic and haemodynamic theories explain the aetiology, progression and optimal management of bicuspid aortic valve aortopathy. In recent years, the haemodynamic theory has been explored with the help of magnetic resonance imaging and computational fluid dynamics. The objective of this review was to summarize the findings of these investigations with focus on the blood flow pattern and associated variables, including flow eccentricity, helicity, flow displacement, cusp opening angle, systolic flow angle, wall shear stress (WSS) and oscillatory shear index. Read More

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http://dx.doi.org/10.1093/ejcts/ezy312DOI Listing
April 2019
1 Read