An overlooked cause for reversible severe tricuspid regurgitation and pulmonary hypertension: Hibernating right ventricle.
Kadriye Memic SancarCagdas TopelSelahattin TurenMehmet ErturkGamze Babur GulerPublished in: Echocardiography (Mount Kisco, N.Y.) (2021)
Tricuspid regurgitation (TR) can occur due to many etiologies, including primary valve disease, left heart disease, annular dilatation in atrial fibrillation, or pulmonary hypertension (PH). Functional TR is caused by tricuspid annular dilatation in the setting of right ventricular remodeling. The right ventricle (RV) ischemia is an overlooked cause of functional TR which tends to diminish with an improvement in right heart functions. We present the case of a patient in whom functional TR significantly improved after percutaneous revascularization. We highlight that the ischemic RV can present with reversible functional TR or PH and emphasized the necessity of accurate detection of the etiology.
Keyphrases
- pulmonary hypertension
- aortic valve
- mitral valve
- aortic stenosis
- pulmonary artery
- atrial fibrillation
- transcatheter aortic valve replacement
- mycobacterium tuberculosis
- heart failure
- left atrial
- pulmonary arterial hypertension
- left ventricular
- percutaneous coronary intervention
- high resolution
- early onset
- minimally invasive
- congenital heart disease
- coronary artery disease
- catheter ablation
- mass spectrometry
- coronary artery bypass grafting
- drug induced
- real time pcr