REVIEW  TRICUSPID VALVE INTERVENTIONS 

Minerva Cardioangiologica 2018 December;66(6):680-90

DOI: 10.23736/S0026-4725.18.04698-4

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Tricuspid valve imaging

Francesco ANCONA ¹ ✉, Stefano STELLA ¹, Cristina CAPOGROSSO ¹, Claudia MARINI ¹, Andrea FISICARO ¹, Alberto MARGONATO ¹, Paolo DENTI ², Eustachio AGRICOLA ¹

¹ Echocardiography Laboratory, Clinical Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy; ² Department of Cardiac Surgery, San Raffaele Scientific Institute, Milan, Italy

The right ventricle and tricuspid valve (TV) have long been neglected by cardiologists. Functional tricuspid regurgitation (TR) is nowadays the most common cause of severe TR and is emerging as a prognostic factor in many heart diseases. A multimodality imaging approach is fundamental for defining the pathophysiology of TR, using both two-dimensional and three-dimensional echocardiography, as well as CT scan. In particular, 3D echocardiography can characterize TV apparatus and tricuspid annulus; CT offers complementary information about annular structure, and its relationship with the right coronary artery. The following review will describe TV anatomy, define transthoracic and transesophageal echocardiographic views for evaluating TV morphology, function and TR grading with some clues on interventional perspectives.

KEY WORDS: Tricuspid valve insufficiency - Interventional radiography - Echocardiography