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. 1983 May;49(5):495–500. doi: 10.1136/hrt.49.5.495

Two dimensional echocardiography and the tricuspid valve. Leaflet definition and prolapse.

A K Brown, V Anderson
PMCID: PMC481337  PMID: 6838736

Abstract

The tricuspid valve was studied in 143 subjects using two dimensional echocardiography. The groups studied were 40 normal subjects, 31 patients with mitral valve prolapse, 22 with clinically probable tricuspid valve prolapse, 20 with congestive cardiac failure, and 30 with miscellaneous cardiac conditions but no features of right heart disease. Using multiple views it was possible to record all three leaflets in 74.8% of cases and anterior and septal leaflets in 95%. Prolapse of the tricuspid valve was recognised in 13 patients: six (19.5%) of the group with mitral valve prolapse and seven (6%) of the remaining patients. Prolapse of all three leaflets was shown in one patient, anterior and septal prolapse in six patients, anterior and posterior in three patients, septal leaflet prolapse alone in two patients, and anterior alone in one patient. Two dimensional echocardiography allows definition of individual tricuspid leaflets and prolapse of any or all leaflets can be diagnosed. Tricuspid valve prolapse is commonly associated with prolapse of mitral valve leaflets but isolated cases are recognised.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brown A. K., Anderson V. M-mode and cross-sectional (2D) echocardiograms in the diagnosis of mitral valve prolapse. Eur Heart J. 1981 Apr;2(2):147–154. doi: 10.1093/oxfordjournals.eurheartj.a061175. [DOI] [PubMed] [Google Scholar]
  2. Chandraratna P. N., Lopez J. M., Fernandez J. J., Cohen L. S. Echocardiographic detection of tricuspid valve prolapse. Circulation. 1975 May;51(5):823–826. doi: 10.1161/01.cir.51.5.823. [DOI] [PubMed] [Google Scholar]
  3. Donaldson R. M., Ballester M., Rickards A. F. Rupture of a papillary muscle of the tricuspid valve. Echocardiographic diagnosis. Br Heart J. 1982 Sep;48(3):291–293. doi: 10.1136/hrt.48.3.291. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Gilbert B. W., Schatz R. A., VonRamm O. T., Behar V. S., Kisslo J. A. Mitral valve prolapse. Two-dimensional echocardiographic and angiographic correlation. Circulation. 1976 Nov;54(5):716–723. doi: 10.1161/01.cir.54.5.716. [DOI] [PubMed] [Google Scholar]
  5. Horgan J. H., Beachley M. C., Robinson F. D. Tricuspid valve prolapse diagnosed by echocardiogram. Chest. 1975 Dec;68(6):822–824. doi: 10.1378/chest.68.6.822. [DOI] [PubMed] [Google Scholar]
  6. Karayannis E., Stefadouros M. A., Abdulla A. M., Blackwell J. C. Use of echocardiography in the diagnosis of prolapsed tricuspid valve. J Med Assoc Ga. 1978 Mar;67(3):205–208. [PubMed] [Google Scholar]
  7. Mardelli T. J., Morganroth J., Chen C. C., Naito M., Vergel J. Tricuspid valve prolapse diagnosed by cross-sectional echocardiography. Chest. 1981 Feb;79(2):201–205. doi: 10.1378/chest.79.2.201. [DOI] [PubMed] [Google Scholar]
  8. Morganroth J., Jones R. H., Chen C. C., Naito M. Two dimensional echocardiography in mitral, aortic and tricuspid valve prolapse. The clinical problem, cardiac nuclear imaging considerations and a proposed standard for diagnosis. Am J Cardiol. 1980 Dec 18;46(7):1164–1177. doi: 10.1016/0002-9149(80)90287-8. [DOI] [PubMed] [Google Scholar]
  9. Ogawa S., Hayashi J., Sasaki H., Tani M., Akaishi M., Mitamura H., Sano M., Hoshino T., Handa S., Nakamura Y. Evaluation of combined valvular prolapse syndrome by two-dimensional echocardiography. Circulation. 1982 Jan;65(1):174–180. doi: 10.1161/01.cir.65.1.174. [DOI] [PubMed] [Google Scholar]
  10. Rippe J. M., Angoff G., Sloss L. J., Wynne J., Alpert J. S. Multiple floppy valves: an echocardiographic syndrome. Am J Med. 1979 May;66(5):817–824. doi: 10.1016/0002-9343(79)91122-7. [DOI] [PubMed] [Google Scholar]
  11. Sassé L., Froelich C. R. Echocardiographic tricuspid prolapse and nonejection systolic click. Chest. 1978 Jun;73(6):869–870. doi: 10.1378/chest.73.6.869. [DOI] [PubMed] [Google Scholar]
  12. Silver M. D., Lam J. H., Ranganathan N., Wigle E. D. Morphology of the human tricuspid valve. Circulation. 1971 Mar;43(3):333–348. doi: 10.1161/01.cir.43.3.333. [DOI] [PubMed] [Google Scholar]
  13. Tajik A. J., Seward J. B., Hagler D. J., Mair D. D., Lie J. T. Two-dimensional real-time ultrasonic imaging of the heart and great vessels. Technique, image orientation, structure identification, and validation. Mayo Clin Proc. 1978 May;53(5):271–303. [PubMed] [Google Scholar]
  14. Werner J. A., Schiller N. B., Prasquier R. Occurrence and significance of echocardiographically demonstrated tricuspid valve prolapse. Am Heart J. 1978 Aug;96(2):180–186. doi: 10.1016/0002-8703(78)90083-2. [DOI] [PubMed] [Google Scholar]

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