BIOSKILLS ONE THE TRICUSPID AND MITRAL VALVE COMPARATIVE ANATOMY - - PowerPoint PPT Presentation

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BIOSKILLS ONE THE TRICUSPID AND MITRAL VALVE COMPARATIVE ANATOMY - - PowerPoint PPT Presentation

Mar 13, 2024 106 likes •337 views

UW MEDICINE TITLE OR EVENT BIOSKILLS ONE THE TRICUSPID AND MITRAL VALVE COMPARATIVE ANATOMY MARK REISMAN, MD REISMANM@UW.EDU Disclosure Statement of Financial Interest I, Mark Reisman, MD, DO NOT have a financial interest/arrangement or

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UW MEDICINE │ TITLE OR EVENT

BIOSKILLS ONE THE TRICUSPID AND MITRAL VALVE COMPARATIVE ANATOMY

MARK REISMAN, MD

REISMANM@UW.EDU

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SLIDE 2

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

  • f 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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SLIDE 4

THE TRICUSPID AND MITRAL VALVE

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RELATIONSHIP OF TV TO MV

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Septal leaflet Of tricuspid valve Coronary sinus Non coronary Cusp of Aortic Valve

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SLIDE 6

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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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SLIDE 8

THE LEFT ATRIUM

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SLIDE 9

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TV PV

Ventricular relationship

The mitral valve with the Aortic valve backlit Pulmonary valve

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RELATIONAL ANATOMY OF THE MITRAL VALVE

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RVOT LVOT

LVOT

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SLIDE 11

MITRAL AND TRICUSPID LEAFLETS

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S A

P

CS

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SLIDE 12

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 septum PM CT more typical MV 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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SLIDE 18

PATHOLOGY

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SLIDE 19

MITRAL ANNULAR CALCIFICATION

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Impact on several TMVR devices

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SLIDE 20

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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