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A Surgeon’s View on Echocardiographic Imaging of the Tricuspid Valve

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Practical Manual of Tricuspid Valve Diseases

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Abstract

Echocardiography has evolved into an important diagnostic tool in cardiac imaging and is frequently used in preparing for cardiac surgery. In this chapter we will discuss a surgeon’s view on imaging of the tricuspid valve. Generally, cardiac surgeons focus on four different aspects of echocardiography when preparing for tricuspid valve surgery: the size of the tricuspid annulus; the severity of tricuspid regurgitation, the morphology of valve leaflets and the degree of tethering of the tricuspid valve. In this chapter we discuss each of these four aspect separately. The emphasis is based on two dimensional echocardiography used in three clinical cases outlining the advantages and disadvantages of this contemporary technique.

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Author information

Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Thoraxcenter, Erasmus MC: University Medical Centre Rotterdam, Rotterdam, The Netherlands

    Kevin M. Veen M.D. & Frans B. Oei M.D., Ph.D.

  2. Department of Cardiology, Thoraxcenter, Erasmus MC: University Medical Centre Rotterdam, Rotterdam, The Netherlands

    Folkert J. ten Cate M.D., Ph.D.

Authors
  1. Kevin M. Veen M.D.
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  2. Folkert J. ten Cate M.D., Ph.D.
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  3. Frans B. Oei M.D., Ph.D.
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Corresponding author

Correspondence to Frans B. Oei M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. The Thoraxcenter, Erasmus MC: University Medical Center Rotterdam, Rotterdam, The Netherlands

    Osama I. Soliman  & Folkert J. ten Cate  & 

Review Questions

Review Questions

  1. 45.

    Which echocardiography finding is important in the decision making regarding tricuspid valve replacement or valvuloplasty?

    1. (a)

      Annulus dilation >40 mm

    2. (b)

      Annulus dilation <40 mm

    3. (c)

      Structural valve damage

  2. 46.

    Which tricuspid valve leaflet is surgically of less interest when performing an annuloplasty?

    1. (a)

      Anterior leaflet

    2. (b)

      Septal leaflet

    3. (c)

      Posterior leaflet

  3. 47.

    What is the incremental value of 3D echocardiography over in 2D echocardiography in tricuspid valve imaging?

    1. (a)

      Imaging all tricuspid valve leaflets in one view more easily

    2. (b)

      It provides real time images

    3. (c)

      It is cheaper

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Veen, K.M., ten Cate, F.J., Oei, F.B. (2018). A Surgeon’s View on Echocardiographic Imaging of the Tricuspid Valve. In: Soliman, O.I., ten Cate, F.J. (eds) Practical Manual of Tricuspid Valve Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-58229-0_7

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  • DOI: https://doi.org/10.1007/978-3-319-58229-0_7

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-58228-3

  • Online ISBN: 978-3-319-58229-0

  • eBook Packages: MedicineMedicine (R0)

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