ROLE OF THREE DIMENSIONAL ECHOCARDIOGRAPHY IN THE ASSESSMENT OF THE TRICUSPID VALVE IN RHEUMATIC HEART DISEASE PATIENTS

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Cardiology and Angiology, Faculty of Medicine, University of Alexandria

2 Cardiology department, faculty of medicine, Alexandria University, khartum Square, Azarita, Alexandria, Egypt.

3 Department of Cardiology and Angiology

Abstract

Introduction

Rheumatic heart disease (RHD) remains a major health burden in low- and middle-income countries, primarily affecting the mitral and aortic valves, but the tricuspid valve (TV) is increasingly recognized for its impact on prognosis. TV involvement may be primary, due to direct rheumatic inflammation, or secondary, resulting from left-sided lesions and pulmonary hypertension. Accurate evaluation of the tricuspid valve is essential, yet conventional two-dimensional echocardiography (2D echo) often underestimates its complex three-dimensional anatomy. The advent of three-dimensional echocardiography (3D echo) has advanced valve imaging, offering superior visualization, direct valve area measurement, and improved grading of regurgitation and stenosis. In RHD, 3D echo provides greater diagnostic accuracy, refines surgical planning, and facilitates earlier intervention. Given that tricuspid disease is frequently under-diagnosed and contributes to worse outcomes, this study explores the role of 3D echocardiography in assessing tricuspid valve morphology and function in patients with rheumatic heart disease.

Aim

The work aimed to study the added value of three-dimensional (3D) echocardiography in the assessment of tricuspid valve morphology and function in patients with known rheumatic heart disease.

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