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At least 415 records · Page 23Linked to original sources
PubMed1991

Ventriculoatrial shunts for hydrocephalus and cardiac valvulopathy: an echocardiographic evaluation.

A group of 20 patients with ventriculoatrial shunts placed as surgical treatment for hydrocephalus were evaluated for cardiac lesions, particularly of the tricuspid valve. Patients with histories of septic or thromboembolic events were excluded. In each patient a clinical history, complete physical examination, electrocardiogram, chest x-ray film and M-mode, two-dimensional and pulsed continuous wave and color-coded Doppler echocardiography were performed. Eight patients were found to have cardiac abnormalities including tricuspid valve insufficiency, tricuspid stenosis and insufficiency, and the catheter passing through the foramen ovale into the left atrium. These findings demonstrate that tricuspid valvular lesions are frequent in patients with ventriculoatrial shunts, and that periodic echocardiographic evaluation should be performed routinely.

Adult↗
PubMed1977

Pericarditis mimicking tricuspid valvular disease.

A patient with rheumatoid disease initially had the physical findings of isolated tricuspid stenosis. Postmortem examination demonstrated adhesive pericarditis with localized hemopericardium which compressed the atrioventricular groove in the area of the tricuspid valve. Historical, physical, electrocardiographic, and cardiac catheterization features which suggested the diagnosis are discussed.

Arthritis, Rheumatoid↗
PubMed2004

De Vega tricuspid annuloplasty for systemic tricuspid regurgitation in children with univentricular physiology.

BACKGROUND AND AIM OF THE STUDY: Significant tricuspid valve regurgitation (TR) is problematic in children with univentricular physiology and a systemic tricuspid valve occasionally requiring tricuspid (systemic atrioventricular) valve replacement. Since 1998, the De Vega tricuspid annuloplasty technique has been applied for TR in these children. METHODS: Twelve children (median age 2.2 years; range: 6 months to 17 years) with moderate or severe systemic TR underwent a De Vega tricuspid annuloplasty during a bidirectional Glenn anastomosis (n = 3), Fontan procedure (n = 8) or aortic valve replacement late after a Fontan procedure (n = 1). Nine patients (75%) had prior Norwood palliation for hypoplastic left heart syndrome. Four patients had simultaneous repair of an abnormal tricuspid valve in addition to the De Vega procedure. RESULTS: There were no deaths during a mean follow up of 2.0 +/- 1.4 years (range: 6 months to 5.1 years). One child required pacemaker implantation early after operation, and one child with a Glenn anastomosis underwent cardiac transplantation 21 months postoperatively. In the remaining 11 patients, the most recent echocardiogram showed mild or no TR in eight children, mild-to-moderate TR in one child, and moderate TR in two children. No child had symptomatic TR (including the two with moderate TR), significant tricuspid stenosis, or late pacemaker implantation. CONCLUSION: The De Vega tricuspid annuloplasty safely provides excellent relief of systemic TR in children with univentricular physiology, with a majority of patients (73%) having mild or less residual TR at follow up examination. This simple technique is preferred to tricuspid (systemic) valve replacement in these children.

Adolescent↗
PubMed1981

[Auscultation of the heart in pregnancy (author's transl)].

During pregnancy a third heart sound is perceptible in 80% of women and a fourth in 16%. Functional systolic heart sounds are found in over 90% of pregnant women, and diastolic sounds in 18%. The amplitude of a functional heart sound usually increases after inhalation of amyl nitrate. Mitral stenosis, aortic stenosis, tricuspid and pulmonary sounds are accentuated during pregnancy. Sounds of mitral and aortic insufficiency become less or even inaudible during pregnancy.

Aortic Valve Insufficiency↗
PubMed1977

Pathology of chronic rheumatic heart disease with particular reference to tricuspid value involvement.

This study is based on a retrospective analysis of 144 autopsied cases of rheumatic heart disease. Majority of cases (79%) were chronic and 21% were acute in nature. The mortality was high and was maximum below the age of 30 years. The males predominated over females. A high incidence of organic tricuspid valve involvement was observed (45.8%). Tricuspid stenosis was observed in 3 cases. Latter was associated with aortic and mitral valve involvement. Mitral stenosis was severe in all the three cases. Criteria, both gross and microscopic for the involvement of the tricuspid valve have been described. Involvement of mitral valve either singly or in combination with the other valves, emerged to be the commonest. Changes observed in the lungs in these cases have been dealth with briefly. Pulmonary vascular changes were usually severe, particularly in the juvenile age group.

Adolescent↗
PubMed1989

[A new surgical approach to tricuspid annuloplasty: an extra-cardiac suture technique "AV-gathering"].

An extra-cardiac approach of annuloplasty for tricuspid insufficiency was carried out on cadavers. This procedure could effectively result in diminution of tricuspid valve ring circumference while not causing any decrease in right coronary blood flow. This approach could not only produce experimental tricuspid stenosis but also have a potential application in clinical functional tricuspid insufficiency. The procedure as well as the clinical implication were discussed.

Adult↗
PubMed1984

Radionuclide measurement of left ventricular ejection fraction in tricuspid atresia.

In 15 patients with tricuspid atresia and one with tricuspid stenosis the left ventricular ejection fraction was measured by equilibrium gated radionuclide angiography and the results compared with those from a control group of 16 patients. The patients with tricuspid atresia had a significantly depressed ejection fraction. Those who had a surgical shunt or who had had pulmonary artery banding had significantly lower ejection fractions than the remainder. There was no significant correlation between the ejection fraction and age, the arterial oxygen saturation, or the haemoglobin concentration. Five patients were also studied during isometric exercise; three had an abnormal response. Volume overload of the ventricle is identified as one cause of the dysfunction, but other factors may be important. Radionuclide angiography offers a non-invasive method of studying ventricular function in this condition.

Adolescent↗
PubMed1994

[Valvuloplasty of rheumatic tricuspid valve disease].

This paper reports 49 cases with rheumatic tricuspid lesions underwent tricuspid valvuloplasty. Tricuspid stenosis was in 26, and combined with incompetence in 23. Posterior-septal, anterior-septal, and anterior-posterior commissural fusions were 9, 7, and 5 cases respectively. Tricuspid repair was used in all cases, fused chordae, papillary muscles and valvular commissures were each divided, then De Vaga's or Kay's annuloplasty was performed to correct the residual regurgitation. The associated procedures included DVR in 33, MVR in 15, and AVR in 1. Hospital death was 3 cases. All early survivors were followed up (2 months to 7 yrs, mean 4.2 yrs). There was no late death, heart functional class I was in 34, class II in 10 and class III in 2. Echocardiography performed 6 months postoperatively, showed no tricuspid regurgitation was in 38, moderate regurgitation in 8, and the right atrial volume decreased in various degrees. The principles and the methods of tricuspid valve repair in patients with rheumatic tricuspid lesions were discussed.

Adult↗
PubMed1988

Unusual presentation of endomyocardial fibrosis.

A case of endomyocardial fibrosis in a Greek patient who had not visited the tropics is described. The patient suffered from an unusual form of the disease in that it was aggressive and recurrent (requiring three operative procedures) and presented with tricuspid stenosis, leading to syncope.

Adult↗
PubMed2003

Tricuspid valve detachment in closure of congenital ventricular septal defect.

From January 1991 through December 2001, 600 patients underwent closure of a perimembranous ventricular septal defect through a right atrial approach at our institution. In 122 of these patients, the operation included temporary detachment of a tricuspid valve septal leaflet from the annulus to allow complete visualization of a perimembranous ventricular septal defect The mean age of the patients at surgery was 4.6 years in those who underwent leaflet detachment and 4.7 years in the 478 patients who did not (P > 0.05). Preoperatively, all patients were in sinus rhythm. Echocardiography showed trivial tricuspid regurgitation in 21 of the patients undergoing detachment and in 39 of the non-detachment patients. There was no difference in bypass time or aortic cross-clamp time between the 2 groups. Postoperatively, 3 patients in the non-detachment group had heart block; all other patients were in sinus rhythm. Echocardiograms on the 7th postoperative day showed small residual ventricular septal defects in none of the patients who underwent valve detachment and in 10 of the non-detachment patients; mild tricuspid regurgitation was present in 12 non-detachment patients only; and trivial tricuspid regurgitation was present in 19 patients who underwent valve detachment and in 29 who did not. There was no hospital death in either group. Long-term follow-up showed no progression of tricuspid regurgitation or tricuspid stenosis. All patients remained in sinus rhythm. This study suggests that tricuspid valve detachment is a safe, effective technique that improves exposure for ventricular septal defect repair and does not adversely affect valve competence.

Cardiac Surgical Procedures↗
PubMed2003

Evidence for rheumatic valve disease in patients with severe tricuspid regurgitation long after mitral valve surgery: the role of 3D echo reconstruction.

BACKGROUND AND AIM OF THE STUDY: Although severe tricuspid regurgitation (TR) is a well-recognized, long-term complication of rheumatic mitral valve replacement that impairs the functional results of surgery, its exact basis remains unclear and its management is unsatisfactory. The study aim was to obtain a detailed assessment of tricuspid valve morphology and function using 2D transesophageal echocardiography (TEE) with 3D reconstruction, and to determine long-term clinical outcome in patients after surgery for rheumatic mitral valve disease. METHODS: A total of 42 patients (mean age 50 +/- 10 years) was followed up; 39 patients had mitral replacement and three had valvotomy. Thirty patients had developed impaired exercise tolerance, fluid retention and echocardiographic evidence of severe TR at 8.2 +/- 2.6 years after surgery; the remainder had mild regurgitation. RESULTS: Follow up showed greater mortality in the severe TR group, with approximately 50% survival at 60 months after diagnosis compared with mild TR. None of the patients with severe TR had a dysfunctional mitral prosthesis. In these patients, transthoracic echo-Doppler showed enlarged right atrium and right ventricle, a mean transtricuspid retrograde pressure drop of 15 +/- 4 mmHg and apparently normal leaflet anatomy. Twenty patients (15 with severe TR) underwent a TEE and 3D reconstruction study for further evaluation. Abnormal leaflet anatomy was demonstrated in all patients with severe TR, with restricted leaflet motion in 10, leaflet shortening and thickening in the remainder, and dilatation of tricuspid valve annular insertion suggestive of rheumatic involvement. Although diastolic transtricuspid velocities were increased (peak flow 0.8 +/- 0.1 m/s) in these patients due to increased stroke volume, significant tricuspid stenosis was present in only two cases (mean gradient 4 and 3 mmHg respectively). Histopathology confirmed the presence of leaflet vascularization and extensive fibrosis in two patients who underwent tricuspid valve replacement. CONCLUSION: Rheumatic leaflet involvement contributes to severe TR occurring long after mitral valve replacement, though overt stenosis is uncommon. Knowledge of the structural basis of this condition may thus improve its long-term management, possibly with early tricuspid valve repair.

Adult↗