Dynamic Changes in Tricuspid Annular Diameter Measurement in Relation to the Echocardiographic View and Timing during the Cardiac Cycle

Miglioranza, Marcelo Haertel; Mihaila, S.; Muraru, Denisa; Cucchini, Umberto; Iliceto, Sabino; Badano, Luigi P.

doi:10.1016/j.echo.2014.09.017

Cited by 51 publications

(33 citation statements)

References 40 publications

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“…14–16 For this reason, there has been renewed interest in the literature to better understand the anatomy and physiology of the TV. 17–20 Localization of TV pathology is important in this regard. With the help of 3D MPR analysis, we were able to identify, in each of the standard 2D views, particular landmarks, which would enable targeted imaging of specific tricuspid leaflets pairs.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive Two-Dimensional Interrogation of the Tricuspid Valve Using Knowledge Derived from Three-Dimensional Echocardiography

Addetia

Yamat

Mediratta

et al. 2016

Journal of the American Society of Echocardiography

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Background Accurate identification of tricuspid valve (TV) leaflets by two-dimensional (2D) transthoracic echocardiography is difficult because of variability in the intersection between the imaging plane and leaflets. Using information obtained from multiplanar reconstruction (MPR) of three-dimensional (3D) data sets, the investigators sought to define “novel” 2D views that would allow targeted interrogation of TV leaflets using 2D transthoracic echocardiography. Methods Images of the TV in the standard 2D views (apical four chamber, right ventricular focused, right ventricular inflow, and parasternal short axis) and 3D data sets were acquired from the same probe position in 106 adults. Three-dimensional MPR was used to determine which leaflet combination was seen in the 2D image: anterior and septal, anterior and posterior, anterior alone, or posterior and septal. Using this analysis, 2D landmarks were identified to define nonstandard TV views tailored to depict specific leaflets. Two-dimensional images in these views and 3D data sets were then prospectively collected in 54 additional patients. Three independent readers analyzed these 2D views to determine TV leaflet combinations, and their interpretation was compared with 3D MPR–derived reference. Results Three-dimensional MPR views made it possible to define six nonstandard 2D views on the basis of anatomic clues and landmarks, which consistently depicted all the aforementioned leaflet combinations. When these six views were prospectively tested, the agreement of TV leaflet identification against 3D MPR was excellent (κ = 0.88, κ = 0.93, and κ = 0.98). Conclusion The nonstandard 2D views defined in this study allow accurate TV leaflet identification and may thus be useful when localization of TV leaflet pathology is clinically important. (J Am Soc Echocardiogr 2016;29:74–82.)

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Section: Discussionmentioning

confidence: 99%

Comprehensive Two-Dimensional Interrogation of the Tricuspid Valve Using Knowledge Derived from Three-Dimensional Echocardiography

Addetia

Yamat

Mediratta

et al. 2016

Journal of the American Society of Echocardiography

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“…Many factors influence normal TA size, including age, gender, right atrial (RA) and RV size. 13) In addition, TA can change markedly with loading conditions and is a highly dynamic structure during cardiac cycle (with 25% fractional shortening and 30-40% of area decrease during atrial systole), 14) holding important implications for its sizing.…”

Section: Functional Anatomy Of Tricuspid Valvementioning

confidence: 99%

Revisit of Functional Tricuspid Regurgitation; Current Trends in the Diagnosis and Management

2016

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Current knowledge of functional tricuspid regurgitation (FTR) as a progressive entity, worsening the prognosis of patients irrespective of its aetiology, has led to renewed interest in the pathophysiology and assessment of FTR. For the proper management of FTR, not only its severity, but also the mechanisms, the mode of leaflet coaptation, the degree of tricuspid annulus enlargement and leaflet tenting, and the haemodynamic consequences for right atrial and right ventricular morphology and function have to be taken into account. A better assessment of the anatomy and function of tricuspid apparatus and tricuspid regurgitation severity should help with the appropriate selection of patients who will benefit from either surgical tricuspid valve repair/replacement or a percutaneous procedure, especially among patients who are to undergo or have undergone primary left-sided valvular surgery. In this article, we review the anatomy, pathophysiology and the use of imaging techniques to assess patients with FTR, as well as the various treatment options for FTR, including emerging transcatheter procedures. The limitations affecting the current approach to FTR patients and the unmet clinical needs for their management have also been discussed.

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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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Dynamic Changes in Tricuspid Annular Diameter Measurement in Relation to the Echocardiographic View and Timing during the Cardiac Cycle

Cited by 51 publications

References 40 publications

Comprehensive Two-Dimensional Interrogation of the Tricuspid Valve Using Knowledge Derived from Three-Dimensional Echocardiography

Comprehensive Two-Dimensional Interrogation of the Tricuspid Valve Using Knowledge Derived from Three-Dimensional Echocardiography

Revisit of Functional Tricuspid Regurgitation; Current Trends in the Diagnosis and Management

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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