Document Detail

Preliminary experience with reversal of venoatrial flow in the diagnosis of tricuspid regurgitation.
MedLine Citation:
PMID:  7214514     Owner:  NLM     Status:  MEDLINE    
Present methods of assessing tricuspid regurgitation are often unreliable. We present preliminary data concerning a new angiographic method for identification of tricuspid regurgitation which evaluates direction of flow of contrast media during right ventricular (RV) systole in the inferior vena cava (IVC) and hepatic veins following right atrial or IVC angiography. Group I consisted of 15 patients who had tricuspid regurgitation by conventional criteria. All 15 patients exhibited reversal of venoatrial flow by right atrial or inferior vena cava angiography. In a control group (group III) of 20 patients who do not have clinical tricuspid regurgitation, one patient demonstrated retrograde flow. Group II consisted of 11 patients with mitral valve disease and mild to moderate pulmonary hypertension. All 11 had no conventional evidence of tricuspid regurgitation; however, all 11 had the pathophysiologic potential for tricuspid regurgitation. Five of 11 had reversal of venoatrial flow during RV systole, suggesting the presence of clinically inapparent tricuspid. In conclusion, preliminary data suggest that angiographic reversal of venoatrial flow may be both sensitive and specific for the presence of tricuspid regurgitation. Further investigation with comparison to RV angiography and real-time echocardiography should be performed.
J Midwall; W Untereker; A Pichard; R Gorlin; L E Teichholz; M V Herman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  7     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1981  
Date Detail:
Created Date:  1981-06-25     Completed Date:  1981-06-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  101-10     Citation Subset:  IM    
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MeSH Terms
Angiography / methods*
Coronary Circulation*
Heart Atria / radiography
Hepatic Veins / physiopathology,  radiography
Middle Aged
Tricuspid Valve Insufficiency / physiopathology,  radiography*
Venae Cavae / physiopathology,  radiography

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