3-Dimensional Echocardiography in Imaging the Tricuspid Valve

Denisa Muraru; Rebecca T Hahn; Osama I Soliman; Francesco F Faletra; Cristina Basso; Luigi P Badano

doi:10.1016/j.jcmg.2018.10.035

3-Dimensional Echocardiography in Imaging the Tricuspid Valve

JACC Cardiovasc Imaging. 2019 Mar;12(3):500-515. doi: 10.1016/j.jcmg.2018.10.035.

Authors

Denisa Muraru¹, Rebecca T Hahn², Osama I Soliman³, Francesco F Faletra⁴, Cristina Basso⁵, Luigi P Badano⁶

Affiliations

¹ Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy; IRCCS, Instituto Auxologico Italiano, S. Luca Hospital, University of Milano-Bicocca, Milan, Italy.
² Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.
³ Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands.
⁴ Department of Cardiology, Fondazione Cardiocentro Ticino, Lugano, Switzerland.
⁵ Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
⁶ Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy; IRCCS, Instituto Auxologico Italiano, S. Luca Hospital, University of Milano-Bicocca, Milan, Italy. Electronic address: lpbadano@gmail.com.

PMID: 30846124
DOI: 10.1016/j.jcmg.2018.10.035

Abstract

Tricuspid regurgitation (TR) is an independent predictor of death. Lately, emerging technologies for the treatment of TR have increased the interest of physicians. Due to the complex 3-dimensional (3D) geometry of the tricuspid valve (TV) and its anterior position in the mediastinum, conventional 2D echocardiography is unsuitable to study the anatomy and pathophysiologic mechanisms of the regurgitant TV. 3D echocardiography has emerged as a very cost-effective imaging modality with which to: 1) visualize the TV anatomy; 2) define the mechanism of TR; 3) measure the size and geometry of the tricuspid annulus; 4) analyze the anatomic relationships between TV apparatus and surrounding cardiac structures; 5) assess volumes and function of the right atrium and ventricle; and 6) plan surgical repair or guide and monitor transcatheter interventional procedures.

Keywords: 3D echocardiography; 3D printing; fusion imaging; tricuspid annulus; tricuspid regurgitation; tricuspid valve.

Publication types

Research Support, Non-U.S. Gov't
Review
Video-Audio Media

MeSH terms

Echocardiography, Three-Dimensional*
Echocardiography, Transesophageal*
Hemodynamics
Humans
Predictive Value of Tests
Prognosis
Reproducibility of Results
Severity of Illness Index
Tricuspid Valve / diagnostic imaging*
Tricuspid Valve / physiopathology
Tricuspid Valve Insufficiency / diagnostic imaging*
Tricuspid Valve Insufficiency / physiopathology