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Tricuspid and pulmonary valves 

Tricuspid and pulmonary valves
Chapter:
Tricuspid and pulmonary valves
Author(s):

Ashraf M. Anwar

and Folkert Jan ten Cate

DOI:
10.1093/med/9780199599639.003.0016
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date: 22 August 2019

Right-sided heart valves are complex anatomical structures. Studies describing the morphological and functional assessment of both valves are lacking. Most echocardiographic modalities provide a qualitative rather than quantitative approach.

Echocardiography has a central role in the assessment of tricuspid regurgitation through estimation of severity, understanding the mechanism, assessment of pulmonary artery pressure, evaluation of right ventricular function, guidance towards surgery versus medical therapy, and assessment of valve competence after surgery.

Transoesophageal echocardiography is an accurate method providing a qualitative assessment of right-sided heart valves. However, the lack of good validation makes it difficult to recommend its use for a quantitative approach. Hopefully, the future will provide refinements in instrumentation and techniques leading to increased accuracy in reporting and cost-effectiveness in making clinical decisions.

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