M U S E U M O F H M H M U LT I M O D A L I T Y I M A G I N G C E N T E R

STENOSIS OF A BIOPROSTHETIC TRICUSPID VALVE Dimitrios Maragiannis, M.D.; Shaun Smithson, M.D.; Mojgan Amrikachi, M.D.; Gerald Lawrie, M.D.; Stephen H. Little, M.D.; Su Min Chang, M.D. Houston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas

A 41-year-old female with tricuspid valve replacement presented to the Houston Methodist Hospital with dyspnea. (A) Spectral Doppler by transthoracic echocardiogram (TTE) revealed high velocity with rounded contour. (B) Three-dimensional (3D) transesophageal (TEE) image of the prosthesis during diastole.

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(C) 64-multislice cardiac computed tomography demonstrated a degenerative prosthetic tricuspid valve with severely thickened and calcified leaflets. (D) Anatomic orifice area calculated by planimetry was found to be 1 cm2 (green perimeter trace). (E) Excised valve showing the extent of valve degeneration.

houstonmethodist.org/debakey-journal

MDCVJ 

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XI (1) 2015

Museum image: tricuspid.

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