08.31.2022 - By CardioNerds
CardioNerds (Amit Goyal and Dan Ambinder) join Dr. Radi Zinoviev, Dr. Josh Cohen, and Dr. Tiffany Dong (CardioNerds Ambassador) from the Cleveland Clinic for a day on Edgewater beach. They discuss the following case of the evaluation and management of prosthetic tricuspid valve stenosis in a patient with a history of Ebstein Anomaly. The expert commentary and review (ECPR) is provided by Dr. Jay Ramchand, staff cardiologist with expertise in multimodality cardiovascular imaging at the Cleveland Clinic.
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Case Media
CXR
ECG
TTE
RHC
Final TTE
TTE 1
TTE 2
TTE 3
Follow up TTE 1
Follow up TTE 2
Episode Schematics & Teaching
Pearls - Tricuspid Valve Stenosis
* Tricuspid stenosis is uncommon (<1% of the US population) and thus we have a lack of evidence as well as guideline recommendations.* While there are no official diagnostic criteria for severe tricuspid stenosis, some echocardiographic features include flow acceleration across the valve, a mean pressure gradient of ≥ 5mmHg and an inflow VTI of > 60cm.* Structural findings that support the presence of severe tricuspid stenosis include a moderately dilated RA and a dilated IVC,