Insuffisance tricuspide
Paramètres principaux
| Insuffisance minime | Insuffisance modérée | Insuffisance sévère | |
|---|---|---|---|
| Rayon de la PISA (cm) | < 0,6 | 0,6-0,9 | > 0,9 |
| Vena contracta (cm) | non définie | < 0,7 | > 0,7 |
| Flux veineux sus-hépatique | onde S dominante | onde S diminuée | inversion systolique du flux, jet atteignant les veines sus-hépatiques |
Paramètres quantitatifs complémentaires
| Insuffisance minime | Insuffisance modérée | Insuffisance sévère | |
|---|---|---|---|
| Surface du jet | < 5 cm² | 5-10 cm² | > 10 cm² |
| Diamètre de la veine cave inférieure | < 2,1 cm et compliante | intermédiaire | > 2,1 cm, quasi non compliante |
Paramètres qualitatifs complémentaires
| Insuffisance minime | Insuffisance modérée | Insuffisance sévère | |
|---|---|---|---|
| Défaut de coaptation | minime | modéré | sévère |
| Taille du ventricule droit | normale | normale ou dilatée | dilatée |
| Taille de l'oreillette droite | normale | normale ou dilatée | dilatée |
| Profil Doppler continu de l'insuffisance tricuspide | peu dense | variable | dense |
| Forme du profil Doppler continu de l'insuffisance tricuspide | parabolique | variable | pic précoce, triangulaire |
Références
Zoghbi, William A.; Enriquez-Sarano, Maurice; Foster, Elyse; Grayburn, Paul A.; Kraft, Carol D.; Levine, Robert A. et al. (2003) : Recommendations for evaluation of the severity of native valvular regurgitation with two-dimensional and Doppler echocardiography. In Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 16 (7), p. 777–802. DOI : 10.1016/S0894-7317(03)00335-3.
Zoghbi, William A.; Adams, David; Bonow, Robert O.; Enriquez-Sarano, Maurice; Foster, Elyse; Grayburn, Paul A. et al. (2017) : Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation. A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance. In Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 30 (4), p. 303–371. DOI : 10.1016/j.echo.2017.01.007.
Rétrécissement tricuspide
| Gradient de pression moyen | ≥ 5 mmHg |
| Surface valvulaire par l'équation de continuité (cm²) | ≤ 1 cm² |
| Intégrale temps-vitesse du flux tricuspide (cm) | > 60 cm |
| Temps de demi-décroissance de pression (TDP, ms) | ≥ 190 ms |
| Oreillette droite | très dilatée |
| Veine cave inférieure | dilatée |
Références
Baumgartner, Helmut; Hung, Judy; Bermejo, Javier; Chambers, John B.; Evangelista, Arturo; Griffin, Brian P. et al. (2009) : Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. In European Journal of Echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology 10 (1), p. 1–25. DOI : 10.1093/ejechocard/jen303.
Baumgartner, Helmut; Hung, Judy; Bermejo, Javier; Chambers, John B.; Evangelista, Arturo; Griffin, Brian P. et al. (2009) : Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. In Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 22 (1), 1-23 ; quiz 101-2. DOI : 10.1016/j.echo.2008.11.029.
Valve pulmonaire
Insuffisance pulmonaire
| Insuffisance minime | Insuffisance modérée | Insuffisance sévère | |
|---|---|---|---|
| Morphologie de la valve pulmonaire | normale | normale ou anormale | anormale |
| Densité du signal en Doppler continu | peu dense, décroissance lente | variable | dense, décroissance rapide, arrêt précoce du flux diastolique |
| Largeur du jet en Doppler couleur | petit, longueur < 10 mm, origine étroite | variable | large, origine large |
| Rapport débit pulmonaire / débit aortique | normal | variable | nettement augmenté |
Références
Zoghbi, William A.; Enriquez-Sarano, Maurice; Foster, Elyse; Grayburn, Paul A.; Kraft, Carol D.; Levine, Robert A. et al. (2003) : Recommendations for evaluation of the severity of native valvular regurgitation with two-dimensional and Doppler echocardiography. In Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 16 (7), p. 777–802. DOI : 10.1016/S0894-7317(03)00335-3.
Zoghbi, William A.; Adams, David; Bonow, Robert O.; Enriquez-Sarano, Maurice; Foster, Elyse; Grayburn, Paul A. et al. (2017) : Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation. A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance. In Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 30 (4), p. 303–371. DOI : 10.1016/j.echo.2017.01.007.
Lancellotti, Patrizio; Tribouilloy, Christophe; Hagendorff, Andreas; Moura, Luis; Popescu, Bogdan A.; Agricola, Eustachio et al. (2010) : European Association of Echocardiography recommendations for the assessment of valvular regurgitation. Part 1: aortic and pulmonary regurgitation (native valve disease). In European Journal of Echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology 11 (3), p. 223–244. DOI : 10.1093/ejechocard/jeq030.
Rétrécissement pulmonaire
| Rétrécissement minime | Rétrécissement modéré | Rétrécissement serré | |
|---|---|---|---|
| Vitesse maximale (m/s) | < 3 | 3-4 | > 4 |
| Gradient maximal (mmHg) | < 36 | 36-64 | > 64 |
Références
Baumgartner, Helmut; Hung, Judy; Bermejo, Javier; Chambers, John B.; Evangelista, Arturo; Griffin, Brian P. et al. (2009) : Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. In European Journal of Echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology 10 (1), p. 1–25. DOI : 10.1093/ejechocard/jen303.
Baumgartner, Helmut; Hung, Judy; Bermejo, Javier; Chambers, John B.; Evangelista, Arturo; Griffin, Brian P. et al. (2009) : Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. In Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 22 (1), 1-23 ; quiz 101-2. DOI : 10.1016/j.echo.2008.11.029.