Chapter

Tricuspid and pulmonary valves

Ashraf M. Anwar and Folkert Jan ten Cate

in The EAE Textbook of Echocardiography

Published on behalf of © European Society of Cardiology

Published in print May 2011 | ISBN: 9780199599639
Published online March 2011 | e-ISBN: 9780199602209 | DOI: http://dx.doi.org/10.1093/med/9780199599639.003.0016
Tricuspid and pulmonary             valves

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  • Cardiovascular Medicine
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Right-sided heart valves are complex anatomical structures. Studies describing the morphological and functional assessment of both valves are lacking. Most echocardiographic modalities provide a qualitative rather than quantitative approach.

Echocardiography has a central role in the assessment of tricuspid regurgitation through estimation of severity, understanding the mechanism, assessment of pulmonary artery pressure, evaluation of right ventricular function, guidance towards surgery versus medical therapy, and assessment of valve competence after surgery.

Transoesophageal echocardiography is an accurate method providing a qualitative assessment of right-sided heart valves. However, the lack of good validation makes it difficult to recommend its use for a quantitative approach. Hopefully, the future will provide refinements in instrumentation and techniques leading to increased accuracy in reporting and cost-effectiveness in making clinical decisions.

Chapter.  6152 words.  Illustrated.

Subjects: Cardiovascular Medicine ; Radiology

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