Kato H, Kudo M, Tsuji K, Yamaoka S, Yoshida K, Takagi Y, Okumachi F, Yanagihara K, Owaki T, Yoshikawa J
J Cardiogr. 1981 Mar;11(1):209-15.
To investigate the normal configuration of the tricuspid valve and the normal size of the tricuspid valve ring, 17 normals, 20 patients with atrial septal defect, 4 patients with tricuspid valve prolapse, and 41 patients with various diseased conditions were studied by cross-sectional echocardiography. The tricuspid valve ring diameter in atrial septal defect was judged to be increased in comparison with that of normals. All the patients with tricuspid valve prolapse exhibited an excessive systolic ballooning of the leaflets toward the right atrium. However, a systolic ballooning of the leaflets alone was frequently observed in normals and many other conditions. Therefore, we conclude that cross-sectional echocardiography has some clinical limitations in the differential diagnosis between tricuspid valve prolapse and normals.
为了研究三尖瓣的正常结构和三尖瓣环的正常大小,我们采用横断面超声心动图对17名正常人、20名房间隔缺损患者、4名三尖瓣脱垂患者以及41名患有各种疾病的患者进行了研究。与正常人相比,房间隔缺损患者的三尖瓣环直径被判定增大。所有三尖瓣脱垂患者均表现出瓣叶在收缩期过度向右心房膨出。然而,在正常人和许多其他情况下,经常观察到仅瓣叶的收缩期膨出。因此,我们得出结论,横断面超声心动图在三尖瓣脱垂与正常人的鉴别诊断中存在一些临床局限性。