BIOSKILLS ONE THE TRICUSPID AND MITRAL …...THE TRICUSPID AND MITRAL VALVE COMPARATIVE ANATOMY MARK...
Transcript of BIOSKILLS ONE THE TRICUSPID AND MITRAL …...THE TRICUSPID AND MITRAL VALVE COMPARATIVE ANATOMY MARK...
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UW MEDICINE │ TITLE OR EVENT
BIOSKILLS ONE
THE TRICUSPID AND MITRAL VALVE
COMPARATIVE ANATOMY
MARK REISMAN, MD
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Disclosure Statement of Financial Interest
I, Mark Reisman, MD, DO NOT have a
financial interest/arrangement or affiliation
with one or more organizations that could
be perceived as a real or apparent conflict
of interest in the context of the subject of
this presentation.
All TVT 2017 faculty disclosures are listed online and on the app.
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AIMS
• Anatomical Differences between the
tricuspid and mitral valve
• Relational anatomy
• Pathology of mitral valve
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THE TRICUSPID AND MITRAL VALVE
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RELATIONSHIP OF TV TO MV
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Septal leafletOf tricuspid valve
Coronary sinus
Non coronaryCusp of Aortic Valve
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LEFT ATRIUM VS RIGHT ATRIUM
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THE RIGHT ATRIUM
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AV Node
MS
S
A
P
CS
Triangle of Koch
Tricuspid ring
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THE LEFT ATRIUM
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TV
PV
Ventricular relationship
The mitral valve with theAortic valve backlit
Pulmonaryvalve
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RELATIONAL ANATOMY OF THE MITRAL
VALVE
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RVOTLVOT
LVOT
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MITRAL AND TRICUSPID LEAFLETS
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SA
PCS
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THE MTRAL LEAFLETS
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posterior
anterior
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SEPARATION OF ANTERIOR AND SEPTAL
LEAFLET OF THE TRICUSPID LEAFLET
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Optimal location for mitraclip
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CHORDAL STRUCTURE OF THE TV AND MV
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Commissures Defined by the presence of Fan chords
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CHORDAE AND PAPILLARY MUSCLES
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CT directly attached to the septumPM
CT more typicalMV
LMCA
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PAPILLARY MUSCLES OF THE TRICUSPID AND MITRAL
VALVES
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TV
MV
MV
MV
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CHORDAL/LEAFLET ATTACHMENTS OF THE
MITRAL VALVE
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Similar insertions on the tricuspid valve
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PATHOLOGY
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MITRAL ANNULAR CALCIFICATION
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Impact on several TMVR devices
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CHORDAL RUPTURE AND LEAFLET
THICKENING OF THE MITRAL LEAFLET
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• Both valves are excellent targets for
percutaneous therapy
• Both valves has unique set of
challenges due to anatomy and
relational anatomy
• I anticipate there will be percutaneous
solutions to the majority of pathologies
affecting both the tricuspid and mitral
valve
CONCLUSION
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