Mortality 0.055% (pulmonary artery rupture, diffuse intrapulmonary haemorrhage) Serious adverse events 1.1% Related to venous access site 0.4% Related to right heart catheterization 0.3% – Supraventricular tachycardia 0.1 – Hypertensive crisis 0.03…
Fig. 9.1 Arrhythmogenic RV dysplasia on cardiac CT. Reprinted with permission from “Value of Cardiac CT in Patients with Heart Failure” by Deepa Mangalat et al., J Curr Cardiovasc Imaging…
Modality Utility 2D–TTE Initial screening, often provides first clue for TV disease. M-mode Best used for tricuspid annular systolic excursion (TAPSE). Doppler The only modality, which provides hemodynamic and valvular…
Fig. 12.1 Parasternal short axis view at the height of the papillary muscle In PHT, as a consequence of increased afterload, right ventricular hypertrophy develops in order to keep wall…
Primary (leaflet abnormality): 25% Congenital Ebstein’s anomaly Tricuspid valve tethering associated with perimembranous VSD and VSA Other (giant right atrium) Acquired disease Carcinoid Degenerative (myxomatous) Endocarditis Endomyocardial fibrosis Iatrogenic (pacing…
Fig. 17.1 Surgical incisions to access the right atrium and expose the tricuspid valve In the first case, the incision is carried out starting close to the atrial appendage and…
Fig. 10.1 Heart specimen (courtesy of Prof Cristina Basso, Cardiac Pathology, University of Padua) seen from atrial perspective, showing the tricuspid valve morphology and its spatial relationships with surrounding structures….
• Flexibility of the TA and the surrounding myocardium (calcification is rare) counteracts fixation and long-term stability of transcatheter tricuspid valve replacement devices and increases the risk of dehiscence of annuloplasty…
Fig. 11.1 Measurements of RV dimensions. The RV basal (D1) and mid cavity (D2) dimensions are shown in the RV focused apical four-chamber view (a). Measurements of the right ventricular…
Large tricuspid annulus dimensions with a non-planar and elliptical shape Absence of calcifications RV morphology (trabeculae, muscle bands, thin apical wall) Proximity/contiguity of other structures (coronary sinus, atrioventricular node and…
