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Three-Dimensional Echocardiography for Tricuspid Valve Assessment

  • Echocardiography (JM Gardin and AH Waller, Section Editors)
  • Published:
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Abstract

Purpose of Review

This review article provides an overview of the various roles of 3-dimensional (3D) echocardiography in the evaluation of the tricuspid valve (TV) with specific focus on tricuspid regurgitation (TR) and its treatment.

Recent Findings

The prognostic implications of TR and the advent of new transcatheter therapies have underscored the need of accurate assessment of the TV.

Summary

3D echocardiography is key to assess the anatomy and function of TV and has provided new insights that have led to new classifications of the type of TR. Furthermore, 3D echocardiography is superior to 2-dimensional echocardiography to assess the right ventricle, an important parameter to select the patients with severe TR who may benefit from intervention. Finally, the use of 3D echocardiography during the guidance of transcatheter interventions is pivotal to ensure procedural success and minimize the complications. Three-dimensional echocardiography provides the soft tissue resolution that fluoroscopy does not provide.

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References

Papers of particular interest, published recently, have been highlighted as: •   Of importance •• Of major importance

  1. Nath J, Foster E, Heidenreich PA. Impact of tricuspid regurgitation on long-term survival. J Am Coll Cardiol. 2004;43:405–9. https://doi.org/10.1016/j.jacc.2003.09.036.

    Article  Google Scholar 

  2. Hahn RT. State-of-the-art review of echocardiographic imaging in the evaluation and treatment of functional tricuspid regurgitation. Circ Cardiovasc Imaging. 2016. https://doi.org/10.1161/CIRCIMAGING.116.005332.

  3. Prihadi EA, van der Bijl P, Gursoy E, Abou R, Mara Vollema E, Hahn RT, et al. Development of significant tricuspid regurgitation over time and prognostic implications: new insights into natural history. Eur Heart J. 2018;39:3574–81. https://doi.org/10.1093/eurheartj/ehy3524.

    Article  Google Scholar 

  4. Rodes-Cabau J, Taramasso M, O’Gara PT. Diagnosis and treatment of tricuspid valve disease: current and future perspectives. Lancet. 2016;388:2431–42. https://doi.org/10.1016/S0140-6736(16)00740-6.

    Article  Google Scholar 

  5. Addetia K, Muraru D, Badano LP, Lang RM. New directions in right ventricular assessment using 3-dimensional echocardiography. JAMA Cardiol. 2019;4:936–44. https://doi.org/10.1001/jamacardio.2019.2424.

    Article  Google Scholar 

  6. •• Praz F, Muraru D, Kreidel F, Lurz P, Hahn RT, Delgado V, et al. Transcatheter treatment for tricuspid valve disease. EuroIntervention. 2021;17:791–808. https://doi.org/10.4244/EIJ-D-21-00695. Landmark review article highlighting the need for standardization in the assessment of the mechanisms of severe tricuspid regurgitation.

    Article  Google Scholar 

  7. Muraru D, Hahn RT, Soliman OI, Faletra FF, Basso C, Badano LP. 3-Dimensional echocardiography in imaging the tricuspid valve. JACC Cardiovasc Imaging. 2019;12:500–15. https://doi.org/10.1016/j.jcmg.2018.10.035.

    Article  Google Scholar 

  8. Peters AC, Gong FF, Rigolin VH. Three-dimensional echocardiography for the assessment of the tricuspid valve. Echocardiography. 2020;37:758–68. https://doi.org/10.1111/echo.14658.

    Article  Google Scholar 

  9. Hahn RT, Weckbach LT, Noack T, Hamid N, Kitamura M, Bae R, et al. Proposal for a standard echocardiographic tricuspid valve nomenclature. JACC Cardiovasc Imaging. 2021;14:1299–305. https://doi.org/10.1016/j.jcmg.2021.01.012.

    Article  Google Scholar 

  10. Muraru D, Veronesi F, Maddalozzo A, Dequal D, Frajhof L, Rabischoffsky A, et al. 3D printing of normal and pathologic tricuspid valves from transthoracic 3D echocardiography data sets. Eur Heart J Cardiovasc Imaging. 2017;18:802–8. https://doi.org/10.1093/ehjci/jew215.

    Article  Google Scholar 

  11. Prihadi EA, Delgado V, Leon MB, Enriquez-Sarano M, Topilsky Y, Bax JJ. Morphologic types of tricuspid regurgitation: characteristics and prognostic implications. JACC Cardiovasc Imaging. 2019;12:491–9. https://doi.org/10.1016/j.jcmg.2018.09.027.

    Article  Google Scholar 

  12. • Utsunomiya H, Harada Y, Susawa H, Takahari K, Ueda Y, Izumi K, et al. Comprehensive evaluation of tricuspid regurgitation location and severity using vena contracta analysis: a color Doppler three-dimensional transesophageal echocardiographic study. J Am Soc Echocardiogr. 2019;32(1526–1537):e1522. https://doi.org/10.1016/j.echo.2019.07.022. This article highlights the importance of using 3-dimensional echocardiography to assess the severity of tricuspid regurgitation in various clinical scenarios.

    Article  Google Scholar 

  13. Lancellotti P, Pibarot P, Chambers J, La Canna G, Pepi M, Dulgheru R, et al. Multi-modality imaging assessment of native valvular regurgitation: an EACVI and ESC council of valvular heart disease position paper. Eur Heart J Cardiovasc Imaging. 2022;23:e171–232. https://doi.org/10.1093/ehjci/jeab253.

    Article  Google Scholar 

  14. Velayudhan DE, Brown TM, Nanda NC, Patel V, Miller AP, Mehmood F, et al. Quantification of tricuspid regurgitation by live three-dimensional transthoracic echocardiographic measurements of vena contracta area. Echocardiography. 2006;23:793–800. https://doi.org/10.1111/j.1540-8175.2006.00314.x.

    Article  Google Scholar 

  15. Chen TE, Kwon SH, Enriquez-Sarano M, Wong BF, Mankad SV. Three-dimensional color Doppler echocardiographic quantification of tricuspid regurgitation orifice area: comparison with conventional two-dimensional measures. J Am Soc Echocardiogr. 2013;26:1143–52. https://doi.org/10.1016/j.echo.2013.07.020.

    Article  Google Scholar 

  16. Chouchani M, Michaelsen J, Langenbrink L, Piatkowski M, Altiok E, Hoffmann R. Quantification of tricuspid regurgitation area by 3-dimensional color Doppler echocardiography considering different clinical settings. Echocardiography. 2020;37:1120–9. https://doi.org/10.1111/echo.14765.

    Article  Google Scholar 

  17. Sheehan F, Redington A. The right ventricle: anatomy, physiology and clinical imaging. Heart. 2008;94:1510–5. https://doi.org/10.1136/hrt.2007.132779.

    Article  Google Scholar 

  18. Muraru D, Spadotto V, Cecchetto A, Romeo G, Aruta P, Ermacora D, et al. New speckle-tracking algorithm for right ventricular volume analysis from three-dimensional echocardiographic data sets: validation with cardiac magnetic resonance and comparison with the previous analysis tool. Eur Heart J Cardiovasc Imaging. 2016;17:1279–89. https://doi.org/10.1093/ehjci/jev309.

    Article  Google Scholar 

  19. Dahou A, Levin D, Reisman M, Hahn RT. Anatomy and physiology of the tricuspid valve. JACC Cardiovasc Imaging. 2019;12:458–68. https://doi.org/10.1016/j.jcmg.2018.07.032.

    Article  Google Scholar 

  20. •• Fortuni F, Marques AI, Bax JJ, Ajmone Marsan N, Delgado V. Echocardiography-computed tomography fusion imaging for guidance of transcatheter tricuspid valve annuloplasty. Eur Heart J Cardiovasc Imaging. 2020;21:937–8. https://doi.org/10.1093/ehjci/jeaa054. This article shows cutting-edge technology applied to computed tomography that permits live guidance of transcatheter interventions for tricuspid regurgitation.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiology, Heart Institute, Hospital University Germans Trias I Pujol, Carretera de Canyet, 08916, Badalona, Spain

    Claudia Escabia, Antoni Bayes-Genis & Victoria Delgado

  2. Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands

    Victoria Delgado

Authors
  1. Claudia Escabia
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  2. Antoni Bayes-Genis
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  3. Victoria Delgado
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Correspondence to Victoria Delgado.

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Conflict of Interest

Victoria Delgado received speaker fees from Abbott Vascular, Edwards Lifesciences, GE Healthcare, Medtronic, Novartis, and MSD; consulting fees from Novo Nordisk and Edwards Lifesciences; and research grants from Abbott Vascular, Edwards Lifesciences, and GE Healthcare. The remaining authors have no conflicts of interest.

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Escabia, C., Bayes-Genis, A. & Delgado, V. Three-Dimensional Echocardiography for Tricuspid Valve Assessment. Curr Cardiol Rep 24, 1611–1618 (2022). https://doi.org/10.1007/s11886-022-01780-8

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