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Published on: February 14, 2017
Multimodal imaging of the tricuspid valve: normal appearance and pathological entities
Soham Shah1, Trevor Jenkins2, Alan Markowitz2
1Cardiothoracic Imaging, Department of Radiology, University Hospitals Case Medical Center, Cleveland, OH, USA.
Insights
Tricuspid valve diseases significantly impact patient health and survival. Advanced imaging like CT and MRI are crucial for diagnosing and managing these conditions, with functional issues being the most common cause of tricuspid regurgitation.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Tricuspid valve diseases pose a significant threat to patient morbidity and mortality.
- Echocardiography is the primary imaging tool, but CT and MRI are gaining importance.
Purpose of the Study:
- To review tricuspid valve anatomy, embryology, and the role of imaging modalities.
- To illustrate imaging findings of congenital and acquired tricuspid valve abnormalities.
Main Methods:
- Review of normal tricuspid valve anatomy and embryology.
- Discussion of echocardiography, CT, and MRI in evaluating tricuspid valve disorders.
- Illustration of imaging appearances of various tricuspid valve abnormalities.
Main Results:
- Tricuspid valve diseases are increasingly recognized as major contributors to morbidity and mortality.
- CT and MRI are becoming essential for detailed evaluation and characterization of tricuspid valve conditions.
- Functional issues represent the most prevalent cause of tricuspid regurgitation.
Conclusions:
- Advanced imaging techniques like CT and MRI are vital for comprehensive assessment of tricuspid valve abnormalities.
- These modalities aid in diagnosis, functional assessment, surgical planning, and post-operative monitoring.
- Understanding imaging findings is critical for managing tricuspid valve diseases effectively.
Abstract:
The tricuspid valve, which is the atrioventricular valve attached to the morphological right ventricle, is affected by a wide range of pathological processes. Tricuspid valve diseases are now increasingly recognized as a significant cause of morbidity and mortality. Echocardiography is the most widely available and, hence, the first-line imaging modality used in the evaluation of tricuspid valve disorders; however, CT and MRI are also increasingly used for further evaluation and characterization of these entities. In this article, we first review the normal anatomy and embryology of the tricuspid valve, followed by a discussion of the role of multiple imaging modalities in the evaluation of tricuspid valve abnormalities. We then review and illustrate the imaging appearance of several congenital and acquired tricuspid valve abnormalities. Main Messages • Tricuspid valve diseases have a significant impact on morbidity and mortality. • CT and MRI are increasingly used in the evaluation of tricuspid disorders. • CT and MRI help in diagnosis, functional evaluation, pre-surgical planning and post-surgical follow-up. • The most common cause of tricuspid regurgitation is functional.
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