Idiopathic annular dilation: A rare cause of isolated severe tricuspid regurgitation

Steven E. Girard, Rick A. Nishimura, Carole A. Warnes, Joseph A. Dearani, Francisco J. Puga

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

The management of patients with severe tricuspid regurgitation (TR) requires the clinician to clarify the mechanism of regurgitation. Primary disorders of the tricuspid valve, either congenital or acquired, may be readily identified by echocardiography. Severe TR most often results from left-sided heart disease and secondary pulmonary hypertension. Cardiomyopathic processes may also cause right ventricular failure and functional TR. We report three patients with severe TR due to idiopathic annular dilation. The tricuspid valves were otherwise normal on surgical inspection, and the pulmonary pressures were not significantly elevated. Each patient was aged over 65 years and had chronic atrial fibrillation with preserved left ventricular systolic function. Surgical treatment-was associated-with marked clinical improvement. Clinicians should recognize this unusual but treatable cause of right-sided congestive heart failure.

Original languageEnglish (US)
Pages (from-to)283-287
Number of pages5
JournalJournal of Heart Valve Disease
Volume9
Issue number2
StatePublished - Mar 2000

Fingerprint

Tricuspid Valve Insufficiency
Dilatation
Tricuspid Valve
Heart Failure
Left Ventricular Function
Pulmonary Hypertension
Atrial Fibrillation
Echocardiography
Heart Diseases
Pressure
Lung
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Girard, S. E., Nishimura, R. A., Warnes, C. A., Dearani, J. A., & Puga, F. J. (2000). Idiopathic annular dilation: A rare cause of isolated severe tricuspid regurgitation. Journal of Heart Valve Disease, 9(2), 283-287.

Idiopathic annular dilation : A rare cause of isolated severe tricuspid regurgitation. / Girard, Steven E.; Nishimura, Rick A.; Warnes, Carole A.; Dearani, Joseph A.; Puga, Francisco J.

In: Journal of Heart Valve Disease, Vol. 9, No. 2, 03.2000, p. 283-287.

Research output: Contribution to journalArticle

Girard, SE, Nishimura, RA, Warnes, CA, Dearani, JA & Puga, FJ 2000, 'Idiopathic annular dilation: A rare cause of isolated severe tricuspid regurgitation', Journal of Heart Valve Disease, vol. 9, no. 2, pp. 283-287.
Girard SE, Nishimura RA, Warnes CA, Dearani JA, Puga FJ. Idiopathic annular dilation: A rare cause of isolated severe tricuspid regurgitation. Journal of Heart Valve Disease. 2000 Mar;9(2):283-287.
Girard, Steven E. ; Nishimura, Rick A. ; Warnes, Carole A. ; Dearani, Joseph A. ; Puga, Francisco J. / Idiopathic annular dilation : A rare cause of isolated severe tricuspid regurgitation. In: Journal of Heart Valve Disease. 2000 ; Vol. 9, No. 2. pp. 283-287.
@article{14dbf1feb5e14d99871c7cb93a3d96b3,
title = "Idiopathic annular dilation: A rare cause of isolated severe tricuspid regurgitation",
abstract = "The management of patients with severe tricuspid regurgitation (TR) requires the clinician to clarify the mechanism of regurgitation. Primary disorders of the tricuspid valve, either congenital or acquired, may be readily identified by echocardiography. Severe TR most often results from left-sided heart disease and secondary pulmonary hypertension. Cardiomyopathic processes may also cause right ventricular failure and functional TR. We report three patients with severe TR due to idiopathic annular dilation. The tricuspid valves were otherwise normal on surgical inspection, and the pulmonary pressures were not significantly elevated. Each patient was aged over 65 years and had chronic atrial fibrillation with preserved left ventricular systolic function. Surgical treatment-was associated-with marked clinical improvement. Clinicians should recognize this unusual but treatable cause of right-sided congestive heart failure.",
author = "Girard, {Steven E.} and Nishimura, {Rick A.} and Warnes, {Carole A.} and Dearani, {Joseph A.} and Puga, {Francisco J.}",
year = "2000",
month = "3",
language = "English (US)",
volume = "9",
pages = "283--287",
journal = "Journal of Heart Valve Disease",
issn = "0966-8519",
publisher = "ICR Publishers Ltd",
number = "2",

}

TY - JOUR

T1 - Idiopathic annular dilation

T2 - A rare cause of isolated severe tricuspid regurgitation

AU - Girard, Steven E.

AU - Nishimura, Rick A.

AU - Warnes, Carole A.

AU - Dearani, Joseph A.

AU - Puga, Francisco J.

PY - 2000/3

Y1 - 2000/3

N2 - The management of patients with severe tricuspid regurgitation (TR) requires the clinician to clarify the mechanism of regurgitation. Primary disorders of the tricuspid valve, either congenital or acquired, may be readily identified by echocardiography. Severe TR most often results from left-sided heart disease and secondary pulmonary hypertension. Cardiomyopathic processes may also cause right ventricular failure and functional TR. We report three patients with severe TR due to idiopathic annular dilation. The tricuspid valves were otherwise normal on surgical inspection, and the pulmonary pressures were not significantly elevated. Each patient was aged over 65 years and had chronic atrial fibrillation with preserved left ventricular systolic function. Surgical treatment-was associated-with marked clinical improvement. Clinicians should recognize this unusual but treatable cause of right-sided congestive heart failure.

AB - The management of patients with severe tricuspid regurgitation (TR) requires the clinician to clarify the mechanism of regurgitation. Primary disorders of the tricuspid valve, either congenital or acquired, may be readily identified by echocardiography. Severe TR most often results from left-sided heart disease and secondary pulmonary hypertension. Cardiomyopathic processes may also cause right ventricular failure and functional TR. We report three patients with severe TR due to idiopathic annular dilation. The tricuspid valves were otherwise normal on surgical inspection, and the pulmonary pressures were not significantly elevated. Each patient was aged over 65 years and had chronic atrial fibrillation with preserved left ventricular systolic function. Surgical treatment-was associated-with marked clinical improvement. Clinicians should recognize this unusual but treatable cause of right-sided congestive heart failure.

UR - http://www.scopus.com/inward/record.url?scp=0034126273&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034126273&partnerID=8YFLogxK

M3 - Article

C2 - 10772049

AN - SCOPUS:0034126273

VL - 9

SP - 283

EP - 287

JO - Journal of Heart Valve Disease

JF - Journal of Heart Valve Disease

SN - 0966-8519

IS - 2

ER -