Imaging Evaluation of Tricuspid Valve: Analysis of Morphology and Function With CT and MRI

Saremi, Farhood; Hassani, Cameron; Millan-Nunez, Victoria; Sánchez‐Quintana, Damián

doi:10.2214/ajr.14.13551

Cited by 48 publications

(18 citation statements)

References 66 publications

(80 reference statements)

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“…Pre-procedural planning using multi-detector computed tomography (MDCT) provides many details regarding tricuspid annulus measurement, the relationship with the surrounding structures, and good-quality motion-free images of the right ventricular outflow tracts 13 . Furthermore, MDCT is used to access routes for percutaneous procedures.…”

Section: Multi-modal Imaging To Plan Trans-catheter Therapiesmentioning

confidence: 99%

Recent advances in managing tricuspid regurgitation

et al. 2018

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Isolated tricuspid valve surgery is usually carried out with very high morbidity and mortality given the complexity of the affected patients. In light of this, trans-catheter tricuspid valve interventions have been emerging as an attractive alternative to surgery over the last few years. Although feasibility has been shown with a number of devices, clinical experience remains preliminary and associated with significant clinical and technical challenges. Here we describe currently available trans-catheter treatment options for severe tricuspid regurgitation implanted in different locations.

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Section: Multi-modal Imaging To Plan Trans-catheter Therapiesmentioning

confidence: 99%

Recent advances in managing tricuspid regurgitation

et al. 2018

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“…Successful imaging of this region necessitates homogenous enhancement around the tricuspid valve annulus, which is otherwise compromised by artifacts arising from the mixture of high-attenuation contrast from the superior vena cava and unenhanced blood from the inferior vena cava. Therefore, dilute contrast must be used for optimal visualization of right-sided cardiac structures on CT [5]. At our institution we usually use iohexol at a concentration of 350 mgI/mL for our cardiac CT studies.…”

Section: Discussionmentioning

confidence: 99%

Calcification of tricuspid valve chordae tendineae on echocardiography and computed tomography

Song

Maldjian

Waller

2020

Radiology Case Reports

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“…Based on previously published studies, tricuspid regurgitation (TR) was considered severe if the regurgitant fraction exceeded 35% [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

Clinical aspects of myocardial fibrosis in adults with Ebstein’s anomaly

et al. 2018

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Heart failure and arrhythmia are common complications in adults with Ebstein’s anomaly. They may result not only from hemodynamic alterations, but also from myocardial fibrosis. Late gadolinium enhancement (LGE) by CMR enables the evaluation of myocardial fibrosis. The aim of the study was to asses the presence of LGE and its relation to clinical outcome. We studied a group of 37 unoperated adults aged 43.0 ± 14.4 years with Ebstein’s anomaly from the congenital heart disease outpatient clinic. Study protocol included: cardiopulmonary test, assessment of supraventricular arrhythmia (SVA), and CMR with evaluation of cardiac chambers’ morphology and function, and presence of LGE. Variables following normal distribution were shown as mean ± SD if otherwise median (range) was applied. Fibrosis was found in 18 patients (48.6%) and was distributed as follows: 12 patients (32.4%) in the right atrium, 12 (32.4%) in the atrialized right ventricle, and 2 (5.4%) in the functional right ventricle. In patients with fibrosis, the tricuspid regurgitation fraction was bigger (48.3 ± 19.7 vs. 36.1 ± 22.6%, p = 0.048) and SVA was more frequent [12 (66.7%) vs. 6 (31.6%), p = 0.046] when compared to patients without fibrosis. However, exercise capacity did not differ between patients with and without LGE (peak VO2 24.0 ± 4.7 vs. 23.7 ± 4.4, p = 0.87). In adults with Ebstein’s anomaly fibrosis estimated by LGE-CMR was localized in the right atrium and the right ventricle only. Volume overload resulting from tricuspid regurgitation might be a factor conducive to fibrosis. Myocardial fibrosis did not influence exercise capacity. Association between myocardial fibrosis and supraventricular arrhythmia was confirmed.

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Imaging Evaluation of Tricuspid Valve: Analysis of Morphology and Function With CT and MRI

Cited by 48 publications

References 66 publications

Recent advances in managing tricuspid regurgitation

Recent advances in managing tricuspid regurgitation

Calcification of tricuspid valve chordae tendineae on echocardiography and computed tomography

Clinical aspects of myocardial fibrosis in adults with Ebstein’s anomaly

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