The tricuspid valve in hypoplastic left heart syndrome: Echocardiography provides insight into anatomy and function
Tricuspid regurgitation (TR) is commonly seen in surgically palliated patients with hypoplastic left heart syndrome, and when significant, is associated with an increase in both morbidity and mortality. Tricuspid valve dysfunction appears to be the result of a combination of inherent structural malf...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.1145161/full |
| _version_ | 1827979208611069952 |
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| author | Tara Bharucha Nicola Viola |
| author_facet | Tara Bharucha Nicola Viola |
| author_sort | Tara Bharucha |
| collection | DOAJ |
| description | Tricuspid regurgitation (TR) is commonly seen in surgically palliated patients with hypoplastic left heart syndrome, and when significant, is associated with an increase in both morbidity and mortality. Tricuspid valve dysfunction appears to be the result of a combination of inherent structural malformations and the unique physiological circumstances resulting from right ventricular pressure and volume overload. Valve dysfunction evolves rapidly, and manifests early on in the surgical pathway. Whilst traditional echocardiographic imaging can identify anatomical defects and dysfunction resulting in varying degrees of regurgitation even at early stages, more sophisticated investigations such as 3D echocardiography, strain imaging and transesophageal 3DE might prove useful to better demonstrate the complex interactions between abnormal anatomy of the valve complex, ventricular function, mechanical synchrony, and TR. Recognition of specific mechanisms of TR can enhance patient-specific care by directing precise surgical interventions and by informing the best timing for intervention on the valve. |
| first_indexed | 2024-04-09T21:33:39Z |
| format | Article |
| id | doaj.art-56e90247978447bb87115efbc7f1af1a |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-09T21:33:39Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-56e90247978447bb87115efbc7f1af1a2023-03-27T05:10:13ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-03-011110.3389/fped.2023.11451611145161The tricuspid valve in hypoplastic left heart syndrome: Echocardiography provides insight into anatomy and functionTara Bharucha0Nicola Viola1Department of Paediatric Cardiology, University Hospital Southampton NHS Foundation Trust, Southampton, United KingdomDepartment of Congenital Cardiac Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, United KingdomTricuspid regurgitation (TR) is commonly seen in surgically palliated patients with hypoplastic left heart syndrome, and when significant, is associated with an increase in both morbidity and mortality. Tricuspid valve dysfunction appears to be the result of a combination of inherent structural malformations and the unique physiological circumstances resulting from right ventricular pressure and volume overload. Valve dysfunction evolves rapidly, and manifests early on in the surgical pathway. Whilst traditional echocardiographic imaging can identify anatomical defects and dysfunction resulting in varying degrees of regurgitation even at early stages, more sophisticated investigations such as 3D echocardiography, strain imaging and transesophageal 3DE might prove useful to better demonstrate the complex interactions between abnormal anatomy of the valve complex, ventricular function, mechanical synchrony, and TR. Recognition of specific mechanisms of TR can enhance patient-specific care by directing precise surgical interventions and by informing the best timing for intervention on the valve.https://www.frontiersin.org/articles/10.3389/fped.2023.1145161/fullhypoplastic left heart syndrometricuspid valveechocardiographycongenital heart diseaseventricular function |
| spellingShingle | Tara Bharucha Nicola Viola The tricuspid valve in hypoplastic left heart syndrome: Echocardiography provides insight into anatomy and function Frontiers in Pediatrics hypoplastic left heart syndrome tricuspid valve echocardiography congenital heart disease ventricular function |
| title | The tricuspid valve in hypoplastic left heart syndrome: Echocardiography provides insight into anatomy and function |
| title_full | The tricuspid valve in hypoplastic left heart syndrome: Echocardiography provides insight into anatomy and function |
| title_fullStr | The tricuspid valve in hypoplastic left heart syndrome: Echocardiography provides insight into anatomy and function |
| title_full_unstemmed | The tricuspid valve in hypoplastic left heart syndrome: Echocardiography provides insight into anatomy and function |
| title_short | The tricuspid valve in hypoplastic left heart syndrome: Echocardiography provides insight into anatomy and function |
| title_sort | tricuspid valve in hypoplastic left heart syndrome echocardiography provides insight into anatomy and function |
| topic | hypoplastic left heart syndrome tricuspid valve echocardiography congenital heart disease ventricular function |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.1145161/full |
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