TY - CHAP M1 - Book, Section TI - Chapter 10. Tricuspid and Pulmonic Valves A1 - Moukarbel, George V. A1 - Abchee, Antoine B. A2 - Mathew, Joseph P. A2 - Swaminathan, Madhav A2 - Ayoub, Chakib M. PY - 2010 T2 - Clinical Manual and Review of Transesophageal Echocardiography, 2e AB - A detailed transesophageal echocardiographic (TEE) examination of the right-sided heart valves can provide accurate diagnosis of valvular diseases; define anatomic, functional, and perivalvular abnormalities; and guide appropriate management. Integration of this information with the evaluation of the cardiac chambers is necessary to assess the degree of the pathology and determine its impact on cardiac function. In a review of 1918 cases undergoing intraoperative TEE prior to cardiac surgery, discrepant findings at the time of surgical inspection were present in only 48 patients, of which five involved the tricuspid and pulmonic valves.1 Therefore, this modality should yield adequate diagnostic accuracy when the exam is conducted appropriately. This chapter discusses the main pathologies involving the tricuspid and pulmonic valves leading to regurgitation and/or stenosis, and their assessment by two-dimensional TEE (Table 10–1). Even with the advent of three-dimensional matrix array probes allowing the acquisition of real-time images, optimal visualization of the tricuspid and pulmonary valves is seldom feasible2; therefore, their three-dimensional evaluation will depend on future improvements of this technology. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=6917200 ER -