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Assessment of the tricuspid valve: a comparison of four transesophageal echocardiographic windows.

Abstract：

OBJECTIVE:Tricuspid valve annular dilation is associated with persistent tricuspid valve regurgitation (TR) after cardiac surgery. The purpose of this study is to compare assessment of the tricuspid valve annulus from 4 different echocardiographic windows. DESIGN:Prospective study. SETTING:Single tertiary care hospital. PATIENTS:Twenty patients undergoing cardiac surgery, including right atriotomy. METHODS:Measurements of the tricuspid valve annular diameter during ventricular diastole (TVADd) and of TR jet dimensions, obtained from 3 different transesophageal and 1 transgastric echocardiographic window, were compared with each other and with that measured by the surgeon during cardiopulmonary bypass. Data were compared using correlation statistics, bias analysis, and analysis of variance for repeated measures. RESULTS:TVAD measured by the surgeon both agreed and correlated best with TVADd measured from the transgastric right ventricular inflow/outflow window (r = 0.98; mean bias 0.04 cm). The proximal TR jet widths and TR jet lengths were larger when measured from midesophageal 4-chamber and midesophageal right ventricular inflow/outflow windows compared with other windows (p < 0.01). CONCLUSION:TVADd was more accurately measured from transgastric windows, whereas the measurements of the TR jet were greater from esophageal windows. These data support imaging from multiple windows to obtain a more comprehensive assessment of the tricuspid valve anatomy and function.

journal_name

J Cardiothorac Vasc Anesth

journal_title

Journal of cardiothoracic and vascular anesthesia

authors

Maslow AD,Schwartz C,Singh AK

doi

10.1053/j.jvca.2004.08.008

keywords:

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

719-24

issue

6

eissn

1053-0770

issn

1532-8422

pii

S1053077004002071

journal_volume

18

pub_type

临床试验,杂志文章

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