Prosthetic tricuspid valve dysfunction assessed by three-dimensional transthoracic and transesophageal echocardiography.
A 39-year-old male who had undergone tricuspid valve replacement for severe tricuspid regurgitation was admitted with palpitation and general edema. Two-dimensional (2D) echocardiography showed tricuspid prosthetic valve dysfunction. Additional three-dimensional (3D) transthoracic and transesophageal echocardiography (TEE) could clearly demonstrate the disabilities of the mechanical tricuspid valve. Particularly, 3D TEE demonstrated a mass located on the right ventricular side of the tricuspid prosthesis, which may have caused the stuck disk. This observation was confirmed by intra-operative findings.
Department of Cardiology, Kagoshima University Hospital, 8-35-1 Sakuragaoka, Kagoshima, Japan. yuasan@hotmail.com.
Toshinori
T
Yuasa
Department of Cardiology, Kagoshima University Hospital, 8-35-1 Sakuragaoka, Kagoshima, Japan.
Kunitsugu
K
Takasaki
Department of Cardiology, Kagoshima University Hospital, 8-35-1 Sakuragaoka, Kagoshima, Japan.
Naoko
N
Mizukami
Department of Cardiology, Kagoshima University Hospital, 8-35-1 Sakuragaoka, Kagoshima, Japan.
Nami
N
Ueya
Department of Cardiology, Kagoshima University Hospital, 8-35-1 Sakuragaoka, Kagoshima, Japan.
Kayoko
K
Kubota
Department of Cardiology, Kagoshima University Hospital, 8-35-1 Sakuragaoka, Kagoshima, Japan.
Yoshihisa
Y
Horizoe
Department of Cardiology, Kagoshima University Hospital, 8-35-1 Sakuragaoka, Kagoshima, Japan.
Hideto
H
Chaen
Department of Cardiology, Kagoshima University Hospital, 8-35-1 Sakuragaoka, Kagoshima, Japan.
Eiji
E
Kuwahara
Department of Cardiology, Kagoshima University Hospital, 8-35-1 Sakuragaoka, Kagoshima, Japan.
Akira
A
Kisanuki
Department of Cardiology, Kagoshima University Hospital, 8-35-1 Sakuragaoka, Kagoshima, Japan.
Shuichi
S
Hamasaki
Prosthetic tricuspid valve; Prosthetic valve dysfunction; Three-dimensional transesophageal echocardiography; Three-dimensional transthoracic echocardiography