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Tricuspid Regurgitation
Christopher M. Walker, MD; Suhny Abbara, MD, FACR, FSCCT
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        TERMINOLOGY

        • Abbreviations

          • Tricuspid regurgitation (TR)
        • Synonyms

          • Tricuspid insufficiency, tricuspid incompetence

        IMAGING

        • Radiographic Findings

          • CT Findings

            • MR Findings

              • Ultrasonographic Findings

                • Angiographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Grasso C et al: Transcatheter treatment of tricuspid regurgitation (focusing on current technologies). EuroIntervention. 14(AB):AB112-AB120, 2018
                                    2. Kim SM et al: Multi-modality imaging in the evaluation and treatment of tricuspid regurgitation. Curr Treat Options Cardiovasc Med. 20(9):77, 2018
                                    3. Wang DD et al: Multimodality Imaging of the Tricuspid Valve for Assessment and Guidance of Transcatheter Repair. Interv Cardiol Clin. 7(3):379-386, 2018
                                    4. Medvedofsky D et al: Multi-parametric quantification of tricuspid regurgitation using cardiovascular magnetic resonance: A comparison to echocardiography. Eur J Radiol. 86:213-20, 2017
                                    5. Naoum C et al: Cardiac computed tomography and magnetic resonance imaging in the evaluation of mitral and tricuspid valve disease: Implications for transcatheter interventions. Circ Cardiovasc Imaging. 10(3), 2017
                                    6. Shah S et al: Multimodal imaging of the tricuspid valve: normal appearance and pathological entities. Insights Imaging. 7(5):649-67, 2016
                                    7. Malik SB et al: The right atrium: gateway to the heart--anatomic and pathologic imaging findings. Radiographics. 35(1):14-31, 2015
                                    8. Kim HK et al: Assessment of haemodynamic effects of surgical correction for severe functional tricuspid regurgitation: cardiac magnetic resonance imaging study. Eur Heart J. 31(12):1520-8, 2010
                                    9. Chen JJ et al: CT angiography of the cardiac valves: normal, diseased, and postoperative appearances. Radiographics. 29(5):1393-412, 2009
                                    10. Marelli D et al: Modified inferior vena caval anastomosis to reduce tricuspid valve regurgitation after heart transplantation. Tex Heart Inst J. 34(1):30-5, 2007
                                    11. Mutlak D et al: Echocardiography-based spectrum of severe tricuspid regurgitation: the frequency of apparently idiopathic tricuspid regurgitation. J Am Soc Echocardiogr. 20(4):405-8, 2007
                                    12. Ohye RG et al: Repair of the tricuspid valve in hypoplastic left heart syndrome. Cardiol Young. 16 Suppl 3:21-6, 2006
                                    13. Yamasaki N et al: Severe tricuspid regurgitation in the aged: atrial remodeling associated with long-standing atrial fibrillation. J Cardiol. 48(6):315-23, 2006
                                    14. Behm CZ et al: Clinical correlates and mortality of hemodynamically significant tricuspid regurgitation. J Heart Valve Dis. 13(5):784-9, 2004
                                    15. Hannoush H et al: Regression of significant tricuspid regurgitation after mitral balloon valvotomy for severe mitral stenosis. Am Heart J. 148(5):865-70, 2004
                                    16. Sadeghi HM et al: Does lowering pulmonary arterial pressure eliminate severe functional tricuspid regurgitation? Insights from pulmonary thromboendarterectomy. J Am Coll Cardiol. 44(1):126-32, 2004
                                    17. Henein MY et al: Evidence for rheumatic valve disease in patients with severe tricuspid regurgitation long after mitral valve surgery: the role of 3D echo reconstruction. J Heart Valve Dis. 12(5):566-72, 2003
                                    18. Braunwald E: Valvular Heart Disease. In Braunwald E: Heart Disease: A Textbook of Cardiovascular Medicine. 6th ed. Philadelphia: W. B. Saunders, 2001
                                    19. Ewy GA: Tricuspid valve disease. In Alpert JS et al: Valvular Heart Disease. 3rd ed. Philadelphia: Lippincott William and Wilkins, 2000
                                    20. Otto CM: Right-sided valve disease. In Otto CM: Valvular Heart Disease. 1st ed. Philadelphia: W. B. Saunders, 1999
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Abbreviations

                                            • Tricuspid regurgitation (TR)
                                          • Synonyms

                                            • Tricuspid insufficiency, tricuspid incompetence

                                          IMAGING

                                          • Radiographic Findings

                                            • CT Findings

                                              • MR Findings

                                                • Ultrasonographic Findings

                                                  • Angiographic Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Grasso C et al: Transcatheter treatment of tricuspid regurgitation (focusing on current technologies). EuroIntervention. 14(AB):AB112-AB120, 2018
                                                                      2. Kim SM et al: Multi-modality imaging in the evaluation and treatment of tricuspid regurgitation. Curr Treat Options Cardiovasc Med. 20(9):77, 2018
                                                                      3. Wang DD et al: Multimodality Imaging of the Tricuspid Valve for Assessment and Guidance of Transcatheter Repair. Interv Cardiol Clin. 7(3):379-386, 2018
                                                                      4. Medvedofsky D et al: Multi-parametric quantification of tricuspid regurgitation using cardiovascular magnetic resonance: A comparison to echocardiography. Eur J Radiol. 86:213-20, 2017
                                                                      5. Naoum C et al: Cardiac computed tomography and magnetic resonance imaging in the evaluation of mitral and tricuspid valve disease: Implications for transcatheter interventions. Circ Cardiovasc Imaging. 10(3), 2017
                                                                      6. Shah S et al: Multimodal imaging of the tricuspid valve: normal appearance and pathological entities. Insights Imaging. 7(5):649-67, 2016
                                                                      7. Malik SB et al: The right atrium: gateway to the heart--anatomic and pathologic imaging findings. Radiographics. 35(1):14-31, 2015
                                                                      8. Kim HK et al: Assessment of haemodynamic effects of surgical correction for severe functional tricuspid regurgitation: cardiac magnetic resonance imaging study. Eur Heart J. 31(12):1520-8, 2010
                                                                      9. Chen JJ et al: CT angiography of the cardiac valves: normal, diseased, and postoperative appearances. Radiographics. 29(5):1393-412, 2009
                                                                      10. Marelli D et al: Modified inferior vena caval anastomosis to reduce tricuspid valve regurgitation after heart transplantation. Tex Heart Inst J. 34(1):30-5, 2007
                                                                      11. Mutlak D et al: Echocardiography-based spectrum of severe tricuspid regurgitation: the frequency of apparently idiopathic tricuspid regurgitation. J Am Soc Echocardiogr. 20(4):405-8, 2007
                                                                      12. Ohye RG et al: Repair of the tricuspid valve in hypoplastic left heart syndrome. Cardiol Young. 16 Suppl 3:21-6, 2006
                                                                      13. Yamasaki N et al: Severe tricuspid regurgitation in the aged: atrial remodeling associated with long-standing atrial fibrillation. J Cardiol. 48(6):315-23, 2006
                                                                      14. Behm CZ et al: Clinical correlates and mortality of hemodynamically significant tricuspid regurgitation. J Heart Valve Dis. 13(5):784-9, 2004
                                                                      15. Hannoush H et al: Regression of significant tricuspid regurgitation after mitral balloon valvotomy for severe mitral stenosis. Am Heart J. 148(5):865-70, 2004
                                                                      16. Sadeghi HM et al: Does lowering pulmonary arterial pressure eliminate severe functional tricuspid regurgitation? Insights from pulmonary thromboendarterectomy. J Am Coll Cardiol. 44(1):126-32, 2004
                                                                      17. Henein MY et al: Evidence for rheumatic valve disease in patients with severe tricuspid regurgitation long after mitral valve surgery: the role of 3D echo reconstruction. J Heart Valve Dis. 12(5):566-72, 2003
                                                                      18. Braunwald E: Valvular Heart Disease. In Braunwald E: Heart Disease: A Textbook of Cardiovascular Medicine. 6th ed. Philadelphia: W. B. Saunders, 2001
                                                                      19. Ewy GA: Tricuspid valve disease. In Alpert JS et al: Valvular Heart Disease. 3rd ed. Philadelphia: Lippincott William and Wilkins, 2000
                                                                      20. Otto CM: Right-sided valve disease. In Otto CM: Valvular Heart Disease. 1st ed. Philadelphia: W. B. Saunders, 1999