Metallic Tricuspid Valve Obstruction

  • Atooshe Rohani
Part of the Clinical Cases in Cardiology book series (CCC)


This case describes Tricuspid metallic valve obstruction in a 52 years old lady who had subtherapeutic INR and presented with shortness of breath and lower extremities edema.


Tricuspid metallic valve Prosthetic valve obstruction Shortness of breath 

Supplementary material

Movie 24.1

TV in mid esophageal TEE short axis 44 degree (AVI 260 kb)


  1. 1.
    Lancellotti P, Pibarot P, Chambers J, Edvardsen T, Delgado V, Dulgheru R, et al. Recommendations for the imaging assessment of prosthetic heart valves: a report from the European Association of Cardiovascular Imaging endorsed by the Chinese Society of Echocardiography, the Inter-American Society of Echocardiography, and the Brazilian Department of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2016;17(6):589–90.CrossRefGoogle Scholar
  2. 2.
    Gandhi N, Janssen M, Tavan E, Gold JA, Chadderdon SM. Intermittent mechanical tricuspid valve obstruction recognized by central venous pressure tracing and confirmed by transesophageal echocardiography. J Am Coll Cardiol. 2012;60(10):e17.CrossRefGoogle Scholar
  3. 3.
    Maragiannis D, Aggeli C, Nagueh SF. Echocardiographic evaluation of tricuspid prosthetic valves: an update. Hell J Cardiol. 2016;57(3):145–51.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Atooshe Rohani
    • 1
  1. 1.Northern Ontario School of MedicineThunder BayCanada

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