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Echo Chapter 12 Part 2
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Which Tricuspid Valves are seen in A4C and PLAX-RVIT?
A4C: Ant & Septal RVIT: Ant & Post
RAP is 15-20mmHg when TR is _______ with TR v-max ______m/sec and IVC is _____ with _____ _____.
severe, >4m/sec, dilated and no collapse. (RAE is also seen)
What was the treatment for bacterial endocarditis in 1970-1980
TV resection (they would remove it and HF in 15 to 20 yrs)
what is seen in this image?
Ebstein Anomaly (rare condition)
How do you calculate pressures between RV and RA.
Bernoullis equation. 4v^2 + RAP
Dilated RA and RV is due to ______ severe TR.
Chronic.
Severe TR cause ____ _____ in _______ veins.
Flow reversal, Hepatic vein
Color Doppler is used to identify Vena Contracta. Severe TR is when vena contracta is _______cm,
>0.7cm
True/ False: Remodling of RV results in Functional TR.
True. More common. (Rupture of pap more, rare)
Usually, Inferior MI is related to the occlusion of ____
RCA
TR can result from
1*Myxomatous valve (degen disease, thickens leaflets), 2*Ruptured chordae (Trauma/Chords), 3*Endocarditis, 4*Pacemaker or defib lead (20%)
What are primary diseases of TV?
Endocarditis Ebstein Anomaly Rheumatic Heart Disease
True/ False: TV stenosis is common
False. Rare, Congenital, rare cases of rheumatic HD
True/ False: Functional TR can result in PHtn.
True.
What view is this? Label.
RVOT A) RV B) ANT C) POST D) RA E) IVC
Which leaflets are labeled as #8 and #7.
#7 Septal #8 Anterior
True/False: Anterior leaflet is substantially larger than septal and posterior leaflet.
True
What can cause secondary/ functional TR?
Annular or RV dilatation Causes Malcoaptation Common secondary to Phtn
What is the most common form of TV pathology?
Secondary or Functional TR
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