Morphological characteristics of patients with severe tricuspid regurgitation caused by tethering
Patient number | Sex | Age (years) | Other congenital cardiac abnormalities | ΔP syst RV−RA (mm Hg) | Tricuspid annulus diameter (mm, normal <31 mm) | Area-D (cm2) | Fac (%) | Origin of the TR jet displaced | Leaflets with tethering from aberrant chords | Leaflets with short primary chords | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Ant | Sept | Post | Ant | Sept | Post | |||||||||
Ant, anterior; Area-D, end diastolic area of the right ventricle obtained in the apical four chamber view (normal <25 cm2); ASD, atrial septal defect; AV/VA discordance, atrioventricular and ventriculo-arterial discordance; AV, atrioventricular; Fac, fractional area change (normal >25 cm2) defined as end diastolic area minus end systolic area divided by end diastolic area of the right ventricle; Post, posterior; RA, right atrial; RV, right ventricular; Sept, septal; syst, systolic; TGA, transposition of the great arteries; TR, tricuspid regurgitation; ΔP, difference in pressure; VA, ventriculo-arterial. | ||||||||||||||
1 | F | 12 | – | 25 | 45 | 32.0 | 42 | Apical | − | + | + | − | − | − |
2 | F | 56 | – | 28 | 25 | 18.7 | 49 | Apical | − | + | − | − | + | − |
3 | F | 73 | – | 39 | 35 | 14.0 | 46 | Apical | + | + | − | − | − | − |
4 | M | 18 | – | 21 | 44 | 24.0 | 20 | Apical | − | + | + | − | + | + |
5 | M | 17 | Superior sinus venosus septal defect | 15 | 39 | 20.1 | 48 | Apical | + | + | + | + | + | + |
6 | M | 41 | AV/VA discordance (l-TGA) | 21 | 27.1 | 12 | Apical | − | + | + | − | + | + | |
7 | M | 35 | AV concordance/VA discordance (d-TGA) | 52 | 40.9 | 48 | Apical | − | + | − | − | − | − | |
8 | M | 62 | Situs inversus with mesocardia; AV/VA discordance (d-TGA) | 48 | 33.0 | 69 | Apical | − | + | − | − | + | − | |
9 | F | 43 | Pulmonary stenosis, ASD II | 45 | 35 | 14.2 | 56 | Apical | + | + | + | + | + | + |
10 | F | 20 | Pulmonary stenosis | 30 | 30 | 13.5 | 44 | Apical | − | + | + | + | + | + |