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Echokardiographische Bildgebung der Trikuspidalklappe

Echocardiographic imaging of the tricuspid valve

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Zusammenfassung

Erkrankungen des rechten Herzens und der Trikuspidalklappe wurden über viele Jahre hinweg nicht als prognostisch relevant erachtet. Die Erkenntnis über den progressiven Verlauf unterschiedlicher Pathologien mit einem direkten Einfluss auf das Outcome der betroffenen Patienten rückt moderne, teils experimentelle Therapieverfahren aktuell zunehmend in den Fokus der medizinischen Aufmerksamkeit. Basis für die Entwicklung neuer therapeutischer Ansätze sind ein grundlegendes Verständnis und die adäquate Darstellung der Anatomie des rechten Herzens. Die transthorakale und die transösophageale Echokardiographie ermöglichen eine standardisierte, eindeutige Visualisierung und Beurteilung der Anatomie und pathologischer Veränderungen des rechten Herzens.

Abstract

Pathologies of the right heart and the tricuspid valve were not recognized to be of prognostic relevance for many years. Available evidence showing the progressive nature of right heart diseases with direct impact on patient survival have changed current understanding of its clinical importance. Visualization and a profound understanding of the right heart anatomy are prerequisites for the development of modern and still experimental treatment strategies. Transthoracic and transesophageal echocardiography enable a standardized and clear visualization and assessment of the right heart anatomy and its pathological changes.

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Literatur

  1. Nath J, Foster E, Heidenreich PA (2004) Impact of tricuspid regurgitation on long-term survival. J Am Coll Cardiol 43(3):405–409

    Article  PubMed  Google Scholar 

  2. Stuge O, Liddicoat J (2006) Emerging opportunities for cardiac surgeons within structural heart disease. J Thorac Cardiovasc Surg 132(6):1258–1261

    Article  PubMed  Google Scholar 

  3. Antunes MJ, Barlow JB (2007) Management of tricuspid valve regurgitation. Heart 93(2):271–276

    Article  PubMed  PubMed Central  Google Scholar 

  4. Nishimura RA, Otto CM, Bonow RO et al (2014) 2014 AHA/ACC guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 63(22):2438–2488

    Article  PubMed  Google Scholar 

  5. Nickenig G, Kowalski M, Hausleiter J et al (2017) Transcatheter treatment of severe tricuspid regurgitation with the edge-to-edge MitraClip technique. Circulation 135(19):1802–1814

    Article  PubMed  Google Scholar 

  6. Hahn RT, Meduri CU, Davidson CJ et al (2017) Early feasibility study of a transcatheter tricuspid valve annuloplasty: SCOUT trial 30-day results. J Am Coll Cardiol 69(14):1795–1806

    Article  PubMed  Google Scholar 

  7. Shah PM, Raney AA (2008) Tricuspid valve disease. Curr Probl Cardiol 33(2):47–84

    Article  PubMed  Google Scholar 

  8. Anwar AM, Soliman OI, Nemes A et al (2007) Value of assessment of tricuspid annulus: real-time three-dimensional echocardiography and magnetic resonance imaging. Int J Cardiovasc Imaging 23(6):701–705

    Article  PubMed  PubMed Central  Google Scholar 

  9. Fukuda S, Saracino G, Matsumura Y et al (2006) Three-dimensional geometry of the tricuspid annulus in healthy subjects and in patients with functional tricuspid regurgitation: a real-time, 3‑dimensional echocardiographic study. Circulation 114(1 Suppl):I492–I498

    PubMed  Google Scholar 

  10. Mutlak D, Lessick J, Reisner SA et al (2007) Echocardiography-based spectrum of severe tricuspid regurgitation: the frequency of apparently idiopathic tricuspid regurgitation. J Am Soc Echocardiogr 20(4):405–408

    Article  PubMed  Google Scholar 

  11. Vismara R, Gelpi G, Prabhu S et al (2016) Transcatheter edge-to-edge treatment of functional tricuspid regurgitation in an ex vivo pulsatile heart model. J Am Coll Cardiol 68(10):1024–1033

    Article  PubMed  Google Scholar 

  12. Lancellotti P, Moura L, Pierard LA et al (2010) European Association of Echocardiography recommendations for the assessment of valvular regurgitation. Part 2: mitral and tricuspid regurgitation (native valve disease). Eur J Echocardiogr 11(4):307–332

    Article  PubMed  Google Scholar 

  13. Zoghbi WA, Adams D, Bonow RO et al (2017) Recommendations for Noninvasive evaluation of native valvular regurgitation: a report from the American Society of Echocardiography developed in collaboration with the Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr 30(4):303–371

    Article  PubMed  Google Scholar 

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Correspondence to C. Hammerstingl.

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C. Hammerstingl weist auf folgende Beziehungen hin: Vortragshonorar und wissenschaftlichen Support von Abbott Vascular; Beratertätigkeit und Proctoring für Cardioband; Proctoring für Mitralign.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Hammerstingl, C. Echokardiographische Bildgebung der Trikuspidalklappe. Herz 42, 629–633 (2017). https://doi.org/10.1007/s00059-017-4610-1

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  • DOI: https://doi.org/10.1007/s00059-017-4610-1

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