Quantification of tricuspid regurgitation by live three-dimensional transthoracic echocardiographic measurements of vena contracta area

Dasan E. Velayudhan, Todd M. Brown, Navin C. Nanda, Vinod Patel, Andrew P. Miller, Farhat Mehmood, Sanjay Rajdev, Ligang Fang, Ebenezer E. Frans, Srinivas Vengala, Pavan Madadi, Pridhvi Yelamanchili, Oben Baysan

Research output: Contribution to journalArticlepeer-review

88 Scopus citations

Abstract

We evaluated tricuspid regurgitation (TR) by multiple echocardiographic techniques in 93 consecutive patients who underwent standard two-dimensional (2D) and live three-dimensional (3D) transthoracic echocardiography (TTE). TR vena contracta (VC) area was obtained by 3D TTE by systematic and sequential cropping of the acquired 3D TTE dataset. Assessment of VC area by 3D TTE was compared to 2D TTE measurements of the ratio of TR regurgitant jet area to right atrial area (RJA/RAA), RJA alone, VC width, and calculated VC area. VC area from 3D TTE closely correlated with RJA/RAA and RJA alone as determined from 2D TTE measurements. Live 3D TTE color Doppler measurements of VC area can be used for quantitative assessment of TR and offer incremental value for quantification of particularly severe regurgitant lesions.

Original languageEnglish
Pages (from-to)793-800
Number of pages8
JournalEchocardiography
Volume23
Issue number9
DOIs
StatePublished - Oct 2006
Externally publishedYes

Keywords

  • Regurgitant jet area
  • Three-dimensional echocardiography
  • Tricuspid regurgitation
  • Vena contracta area

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