Echo Chapter 12 Part 2 | Baamboozle - Baamboozle

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How do you calculate pressures between RV and RA.

Bernoullis equation. 4v^2 + RAP

True/False: Anterior leaflet is substantially larger than septal and posterior leaflet.

True

Dilated RA and RV is due to ______ severe TR.

Chronic.

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 is the most common form of TV pathology?

Secondary or Functional TR

Which Tricuspid Valves are seen in A4C and PLAX-RVIT?

A4C: Ant & Septal RVIT: Ant & Post

What view is this? Label.

RVOT A) RV B) ANT C) POST D) RA E) IVC

What can cause secondary/ functional TR?

Annular or RV dilatation Causes Malcoaptation Common secondary to Phtn

True/ False: TV stenosis is common

False. Rare, Congenital, rare cases of rheumatic HD

True/ False: Functional TR can result in PHtn.

True.

Color Doppler is used to identify Vena Contracta. Severe TR is when vena contracta is _______cm,

>0.7cm

Which leaflets are labeled as #8 and #7.

#7 Septal #8 Anterior

Severe TR cause ____ _____ in _______ veins.

Flow reversal, Hepatic vein

What was the treatment for bacterial endocarditis in 1970-1980

TV resection (they would remove it and HF in 15 to 20 yrs)

What are primary diseases of TV?

Endocarditis Ebstein Anomaly Rheumatic Heart Disease

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

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 is seen in this image?

Ebstein Anomaly (rare condition)