Hosam Fawzy, MD, Kiyotaka Fukamachi, MD, PhD, C

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Presentation transcript:

Complete mapping of the tricuspid valve apparatus using three-dimensional sonomicrometry Hosam Fawzy, MD, Kiyotaka Fukamachi, MD, PhD, C. David Mazer, MD, Alana Harrington, MSc, David Latter, MD, Daniel Bonneau, MD, Lee Errett, MD The Journal of Thoracic and Cardiovascular Surgery Volume 141, Issue 4, Pages 1037-1043 (April 2011) DOI: 10.1016/j.jtcvs.2010.05.039 Copyright © 2011 Terms and Conditions

Figure 1 The positions of the crystals over the different parts of the tricuspid valve apparatus. AL, Anterior leaflet; PL, posterior leaflet; SL, septal leaflet; APM, anterior papillary muscle; PPM, posterior papillary muscle; SPM, septal papillary muscle; RV Apex, right ventricular apex. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1037-1043DOI: (10.1016/j.jtcvs.2010.05.039) Copyright © 2011 Terms and Conditions

Figure 2 The distances of the 6 tricuspid annular crystals in relation to the right ventricular apex. S, Crystal at the middle of the septal annulus; PS, crystal at the posteroseptal commissure; P, crystal at the middle of the posterior annulus; AP, crystal at the anteroposterior commissure; A, crystal at the middle of the anterior annulus; AS, crystal at the anteroseptal commissure. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1037-1043DOI: (10.1016/j.jtcvs.2010.05.039) Copyright © 2011 Terms and Conditions

Figure 3 The 3D shape of the TA at systole. S, Crystal at the middle of the septal annulus; PS, crystal at the posteroseptal commissure; P, crystal at the middle of the posterior annulus; AP, crystal at the anteroposterior commissure; A, crystal at the middle of the anterior annulus; AS, crystal at the anteroseptal commissure. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1037-1043DOI: (10.1016/j.jtcvs.2010.05.039) Copyright © 2011 Terms and Conditions

Figure 4 The dynamic changes of the tricuspid valve apparatus during the cardiac cycle in 1 animal. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1037-1043DOI: (10.1016/j.jtcvs.2010.05.039) Copyright © 2011 Terms and Conditions

Figure 5 The segmental changes of different parts of the TA. PS, Posteroseptal commissure; AP, anteroposterior commissure; AS, anteroseptal commissure. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1037-1043DOI: (10.1016/j.jtcvs.2010.05.039) Copyright © 2011 Terms and Conditions

Figure 6 The proposed tricuspid annuloplasty ring. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1037-1043DOI: (10.1016/j.jtcvs.2010.05.039) Copyright © 2011 Terms and Conditions