Diseases of the Tricuspid and Pulmonary Valve

  • Wei-Hsian Yin
  • Ming-Chon Hsiung


Right-sided vlavular disorders are discussed in this chapter, including cases of TV prolapse, tricuspid prosthesis restenosis, subvalvular PS, and carcinoid syndrome.

The TV is the largest cardiac valve and the PV has thinner leaflets. 3D zoom mode is preferable for assessment for TV and PV leaflets whereas 3D full volume is better for regurgitation and valvular supporting structures.

Supplementary material

417072_1_En_3_MOESM1_ESM.avi (3.9 mb)
Video 3.1 (AVI 4002 kb)
417072_1_En_3_MOESM2_ESM.avi (1.3 mb)
Video 3.2 (AVI 1302 kb)
417072_1_En_3_MOESM3_ESM.avi (2.1 mb)
Video 3.3 (AVI 2103 kb)
417072_1_En_3_MOESM4_ESM.avi (758 kb)
Video 3.4 (AVI 758 kb)
417072_1_En_3_MOESM5_ESM.avi (1.3 mb)
Video 3.7 (AVI 1339 kb)
417072_1_En_3_MOESM6_ESM.avi (918 kb)
Video 3.8 (AVI 917 kb)
417072_1_En_3_MOESM7_ESM.avi (44.9 mb)
Video 3.9 (AVI 45992 kb)
417072_1_En_3_MOESM8_ESM.avi (6.9 mb)
Video 3.10 (AVI 7069 kb)
417072_1_En_3_MOESM9_ESM.avi (36.8 mb)
Video 3.12 (AVI 37676 kb)
417072_1_En_3_MOESM10_ESM.avi (97.4 mb)
Video 3.14 (AVI 99726 kb)
417072_1_En_3_MOESM11_ESM.avi (44.9 mb)
Video 3.15 (AVI 45974 kb)
417072_1_En_3_MOESM12_ESM.avi (21.7 mb)
Video 3.18 (AVI 22264 kb)
417072_1_En_3_MOESM13_ESM.avi (21.7 mb)
Video 3.19 (AVI 22264 kb)
417072_1_En_3_MOESM14_ESM.avi (34.6 mb)
Video 3.21 (AVI 35461 kb)
417072_1_En_3_MOESM15_ESM.avi (23.8 mb)
Video 3.22 (AVI 24380 kb)
417072_1_En_3_MOESM16_ESM.avi (49.8 mb)
Video 3.23 (AVI 50976 kb)
417072_1_En_3_MOESM17_ESM.avi (21.6 mb)
Video 3.24 (AVI 22164 kb)
417072_1_En_3_MOESM18_ESM.avi (20.8 mb)
Video 3.25 (AVI 21250 kb)
417072_1_En_3_MOESM19_ESM.avi (30.3 mb)
Video 3.26 (AVI 31028 kb)
417072_1_En_3_MOESM20_ESM.avi (30.3 mb)
Video 3.27 (AVI 31030 kb)
417072_1_En_3_MOESM21_ESM.avi (21.6 mb)
Video 3.28 (AVI 22159 kb)
417072_1_En_3_MOESM22_ESM.avi (17.7 mb)
Video 3.29 (AVI 18131 kb)
417072_1_En_3_MOESM23_ESM.avi (21.6 mb)
Video 3.30 (AVI 22159 kb)
417072_1_En_3_MOESM24_ESM.avi (17.7 mb)
Video 3.31 (AVI 18131 kb)
417072_1_En_3_MOESM25_ESM.avi (49.8 mb)
Video 3.32 (AVI 50975 kb)
417072_1_En_3_MOESM26_ESM.avi (18.6 mb)
Video 3.33 (AVI 19051 kb)
417072_1_En_3_MOESM27_ESM.avi (21.2 mb)
Videos 3.34 and 3.35 (AVI 21707 kb)
417072_1_En_3_MOESM28_ESM.avi (86.6 mb)
Video 3.36 (AVI 88648 kb)
417072_1_En_3_MOESM29_ESM.avi (36.8 mb)
Video 3.37 (AVI 37679 kb)
417072_1_En_3_MOESM30_ESM.avi (71.8 mb)
Video 3.38 (AVI 73516 kb)
417072_1_En_3_MOESM31_ESM.avi (17.7 mb)
Video 3.39 (AVI 18131 kb)
417072_1_En_3_MOESM32_ESM.avi (130.4 mb)
Video 3.40 (AVI 133537 kb)
417072_1_En_3_MOESM33_ESM.avi (49.8 mb)
Video 3.41 (AVI 50975 kb)
417072_1_En_3_MOESM34_ESM.avi (158.5 mb)
Videos 3.44 and 3.45 (AVI 162285 kb)
417072_1_En_3_MOESM35_ESM.avi (101.7 mb)
Video 3.49 (AVI 104160 kb)
417072_1_En_3_MOESM36_ESM.avi (32.5 mb)
Video 3.50 (AVI 33246 kb)
417072_1_En_3_MOESM37_ESM.avi (168.5 mb)
Videos 3.52 and 3.53 (AVI 172535 kb)
417072_1_En_3_MOESM38_ESM.avi (56.3 mb)
Videos 3.54 and 3.55 (AVI 57623 kb)

Suggested Reading

  1. Desai HM, Amonkar GP. Idiopathic mitral valve prolapse with tricuspid, aortic and pulmonary valve involvement: an autopsy case report. Indian J Pathol Microbiol. 2015;58(2):217–9.CrossRefPubMedGoogle Scholar
  2. Doğdu O, Baran O, Karaduman O, Yarlıoğlueş M. Subvalvular pulmonary stenosis, right ventricular hypertrophy and patent foramen ovale. Turk Kardiyol Dern Ars. 2011;39(7):626.CrossRefPubMedGoogle Scholar
  3. Elsayed M, Thind M, Nanda NC. Two- and three-dimensional transthoracic echocardiographic assessment of tricuspid valve prolapse with mid-to-late systolic tricuspid regurgitation. Echocardiography. 2015;32(6):1022–5.CrossRefPubMedGoogle Scholar
  4. Kocabay G, Sirma D, Mert M, Tigen K. Isolated tricuspid valve prolapsed: identification using two- and three- dimensionalechocardiography and transoesophageal echocardiography. Cardiovasc J Afr. 2011;22(5):272–3.CrossRefPubMedGoogle Scholar
  5. Miles LF, Leong T, McCall P, Weinberg L. Carcinoid heart disease: correlation of echocardiographic and histopathological findings. BMJ Case Rep. 2014;24:2014.Google Scholar
  6. Muraru D, Badano LP, Sarais C, et al. Evaluation of tricuspid valve morphology and function by transthoracic three-dimensionalechocardiography. Curr Cardiol Rep. 2011;13(3):242–9.CrossRefPubMedGoogle Scholar
  7. Nalawadi SS, Siegel RJ, Wolin E, et al. Morphologic features of carcinoid heart disease as assessed by three-dimensional transesophageal echocardiography. Echocardiography. 2010;27(9):1098–105.CrossRefPubMedGoogle Scholar
  8. Reddy YN, Connolly HM, Ammash NM. Thrombotic obstruction of a melody valve-in-valve used for prosthetic tricuspid stenosis. World J Pediatr Congenit Heart Surg. 2015a;6(4):667–9.CrossRefPubMedGoogle Scholar
  9. Reddy G, Ahmed M, Alli O. Percutaneous valvuloplasty for severe bioprosthetic tricuspid valve stenosis in the setting of infective endocarditis. Catheter Cardiovasc Interv. 2015b;85(5):925–9.CrossRefPubMedGoogle Scholar
  10. Requilé A, Van De Bruaene A, Reenaers V, Dendale P. A case of carcinoid heart disease with desaturation and no liver metastases. Echocardiography. 2014;31(10):E307–9.CrossRefPubMedGoogle Scholar
  11. Roberts CC, Parmar RJ, Grayburn PA, et al. Clues to diagnosing carcinoid heart disease as the cause of isolated right-sided heart failure. Am J Cardiol. 2014;114(10):1623–6.CrossRefPubMedGoogle Scholar
  12. Tefera E, Bermudez-Cañete R, Rubio L. Discrete subpulmonic membrane in association with isolated severe pulmonary valvar stenosis. BMC Cardiovasc Disord. 2013;13:43.CrossRefPubMedPubMedCentralGoogle Scholar
  13. Waller AH, Chatzizisis YS, Moslehi JJ, et al. Real-time three-dimensional transesophageal echocardiography enables preoperative pulmonary valvulopathy assessment. Eur Heart J Cardiovasc Imaging. 2014;15(6):713.CrossRefPubMedGoogle Scholar
  14. Yousif M, Elhassan NB, Ali SK, Ahmed Y. Isolated subpulmonic fibrous ring, mirror-image dextrocardia and situs solitus in a young lady unreported and a near miss. Interact Cardiovasc Thorac Surg. 2013;17(6):1043–4.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media Singapore 2016

Authors and Affiliations

  • Wei-Hsian Yin
    • 1
  • Ming-Chon Hsiung
    • 1
  1. 1.Division of CardiologyCheng-Hsin General HospitalTaipeiTaiwan

Personalised recommendations