BACKGROUND: Tricuspid valve (TV) stenosis is a very rare condition and the aetiology is primarily due to rheumatic disease, carcinoid disease, congenital heart disease, endocarditis, and following degeneration of biological valve prosthesis. CASE SUMMARY: We present a 45-year-old man with a rare case of symptomatic TV stenosis (TS) in a previously isolated TV repair. A meticulous multimodality diagnostic approach is presented in order to determine the severity of the TS and to evaluate the right ventricular function. DISCUSSION: This case report presents an integrated multimodality imaging and haemodynamic approach to evaluate and document the suspicion of development of a symptomatic significant stenosis in a previous TV repair. The initial TV repair was done without ring annuloplasty, because only the anterior leaflet was affected and bicuspidalization of the valve made it patent. In addition, minimizing the amount of implanted material was intended to minimize the risk of reinfection. The final treatment was performed as a TV replacement with insertion of a bioprosthesis.
BACKGROUND: Tricuspid valve (TV) stenosis is a very rare condition and the aetiology is primarily due to rheumatic disease, carcinoid disease, congenital heart disease, endocarditis, and following degeneration of biological valve prosthesis. CASE SUMMARY: We present a 45-year-old man with a rare case of symptomatic TV stenosis (TS) in a previously isolated TV repair. A meticulous multimodality diagnostic approach is presented in order to determine the severity of the TS and to evaluate the right ventricular function. DISCUSSION: This case report presents an integrated multimodality imaging and haemodynamic approach to evaluate and document the suspicion of development of a symptomatic significant stenosis in a previous TV repair. The initial TV repair was done without ring annuloplasty, because only the anterior leaflet was affected and bicuspidalization of the valve made it patent. In addition, minimizing the amount of implanted material was intended to minimize the risk of reinfection. The final treatment was performed as a TV replacement with insertion of a bioprosthesis.
Keywords:
3D transoesophageal echocardiography; Cardiac magnetic resonance imaging; Case report; Multimodality approach; Right heart catheterization; Tricuspid valve stenosis
Authors: Helmut Baumgartner; Volkmar Falk; Jeroen J Bax; Michele De Bonis; Christian Hamm; Per Johan Holm; Bernard Iung; Patrizio Lancellotti; Emmanuel Lansac; Daniel Rodriguez Muñoz; Raphael Rosenhek; Johan Sjögren; Pilar Tornos Mas; Alec Vahanian; Thomas Walther; Olaf Wendler; Stephan Windecker; Jose Luis Zamorano Journal: Eur Heart J Date: 2017-09-21 Impact factor: 29.983
Authors: Doff B McElhinney; Jamil A Aboulhosn; Danny Dvir; Brian Whisenant; Yulin Zhang; Andreas Eicken; Flavio Ribichini; Aphrodite Tzifa; Michael R Hainstock; Mary H Martin; Ran Kornowski; Stephan Schubert; Azeem Latib; John D R Thomson; Alejandro J Torres; Jeffery Meadows; Jeffrey W Delaney; Mayra E Guerrero; Stefano Salizzoni; Howaida El-Said; Ariel Finkelstein; Isaac George; Marc Gewillig; Maria Alvarez-Fuente; Luke Lamers; Asim N Cheema; Jacqueline N Kreutzer; Tanja Rudolph; David Hildick-Smith; Allison K Cabalka Journal: J Am Coll Cardiol Date: 2019-01-22 Impact factor: 24.094