The Back Side of The Medallion in Primary Tricuspid Valve Disease; Incremental Value Of the 3D Echocardiography [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. Ahead of Print: TKDA-16860 | DOI: 10.5543/tkda.2018.16860

The Back Side of The Medallion in Primary Tricuspid Valve Disease; Incremental Value Of the 3D Echocardiography

Munevver Sari1, Gokhan Kahveci1, Duhan Fatih Bayrak2, Abdulkadir Uslu1, Selcuk Pala1
1Cardiology Department, University of Health Sciences, Kartal Kosuyolu Education and Research Hospital, Istanbul, TURKEY
2Cardiology Department, Acibadem University School of Medicine, Istanbul, TURKEY

Primary tricuspid valve regurgitation is encountered due to multiple etiologies in daily practice less than secondary regurgitation. We present 2 patients with severe primary tricuspid valve regurgitation. The underlying mechanisms are posterior leaflet prolapse due to spontaneous chordae rupture and iatrogenic posterior leaflet tissue loss during removal of the permanent pacemaker. Transthoracic and sometimes transesophageal echocardiography, which require assessment of tricuspid valve from multilevel imaging, are the techniques of choice for accurate detection and understanding of etiology, severity of valve regurgitation, determining treatment options along with timing and guidance during intervention. 3-dimensional echocardiography provides to image the entire tricuspid leaflets simultaneously and to identify that which leaflets affected by the pathology.

Keywords: Primary tricuspid valve regurgitation, three-dimensional echocardiography

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Corresponding Author: Munevver Sari, Türkiye
© Copyright 2018 Archives of the Turkish Society of Cardiology
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