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Intensive Care Medicine

, Volume 45, Issue 9, pp 1301–1302 | Cite as

Massive tricuspid valve regurgitation: sonographic findings of jugular and hepatic veins

  • Panagiota SotiriouEmail author
  • Kosmas Kosmidis
  • Matthew Tsagourias
  • Dimitrios Matamis
Imaging in Intensive Care Medicine

Notes

Compliance with ethical standards

Conflicts of interest

On behalf of all authors, the corresponding author states that there are no conflicts of interest.

Ethics approval

The study has been approved by the hospital’s ethics committee and has therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

Supplementary material

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Supplementary material 1 (M4V 212 kb) Tricuspid valve after partial surgical excision of anterior and posterior leaflets in four-chamber echocardiographic view. RV right ventricle, RA right atrium
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Supplementary material 2 (M4V 240 kb) Right ventricular inflow echocardiographic view. A large coaptation gap between the visualized leaflets of the tricuspid valve is observed. LV left ventricle, RV right ventricle, RA right atrium

Supplementary material 3 (AVI 2267 kb) Lancisi’s sign—intense systolic jugular pulse

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Supplementary material 4 (M4V 719 kb) Systolic pulsatile dilation of internal jugular veins, due to systolic volume overload of the right atrium and the superior vena (ultrasonographic depiction). CA carotid artery, IJV internal jugular vein
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Supplementary material 5 (MP4 215 kb) Massive tricuspid valve regurgitation, after partial surgical excision of the anterior and posterior leaflets of the valve (colour Doppler)
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Supplementary material 6 (M4V 1393 kb) Reverse systolic flow in the hepatic veins, as visualised after infusion of agitated saline. The finding was attributed to inferior vena caval volume overload during systole
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Supplementary material 7 (TIFF 2000 kb) Continuous wave (CW) Doppler examination of the tricuspid valve. Low blood flow velocities are recorded, because of the small pressure gradient between the right atrium and the right ventricle. RV right ventricle, RA right atrium
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Supplementary material 8 (M4V 454 kb) Disappearance of the systolic pulsatile dilation of internal jugular veins after prosthetic tricuspid valve implantation (B-mode sonographic depiction). CA carotid artery, IJV internal jugular vein
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Supplementary material 9 (M4V 430 kb) Disappearance of the systolic pulsatile dilation of internal jugular veins after tricuspid valve replacement (colour Doppler video). CA carotid artery, IJV internal jugular vein

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.ICU DepartmentPapageorgiou General HospitalThessalonikiGreece

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