The Right Coronary Anatomy and Operative Topography of the Tricuspid Valve Annulus

Michal Piotrowski; Marian Burysz; Jakub Batko; Radoslaw Litwinowicz; Mariusz Kowalewski; Krzysztof Bartus; Krzysztof Wróbel; Lukasz Graczykowski; Artur Slomka

doi:10.3390/jcdd11060159

The Right Coronary Anatomy and Operative Topography of the Tricuspid Valve Annulus

Michal Piotrowski, Marian Burysz, Jakub Batko^*, Radoslaw Litwinowicz, Mariusz Kowalewski, Krzysztof Bartus, Krzysztof Wróbel, Lukasz Graczykowski, Artur Slomka

^*Corresponding author for this work

Carim - Surgical intervention

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: The region of the tricuspid valve is an important area for various cardiac interventions. In particular, the spatial relationships between the right coronary artery and the annulus of the tricuspid valve should be considered during surgical interventions. The aim of this study was to provide an accurate description of the clinical anatomy and topography of this region. METHODS: We analyzed 107 computed tomography scans (44% female, age 62.1 ± 9.4 years) of the tricuspid valve region. The circumference of the free wall of the tricuspid valve annulus was divided into 13 annular points and measurements were taken at each point. The prevalence of danger zones (distance between artery and annulus less than 2 mm) was also investigated. RESULTS: Danger zones were found in 20.56% of the cases studied. The highest prevalence of danger zones and the smallest distances were found at the annular points of the tricuspid valve located at the posterior insertion of the leaflets, without observed sex-specific differences. CONCLUSION: The highest risk of iatrogenic damage to the right coronary artery is in the posterior part of the tricuspid valve annulus.

Original language	English
Article number	159
Number of pages	11
Journal	Journal of Cardiovascular Development and Disease
Volume	11
Issue number	6
DOIs	https://doi.org/10.3390/jcdd11060159
Publication status	Published - Jun 2024

Keywords

right coronary artery damage
tricuspid valve anatomy
tricuspid valve repair
tricuspid valve replacement

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10.3390/jcdd11060159Licence: CC BY

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@article{590d3914d06e4cbdbc358d1c8360a046,

title = "The Right Coronary Anatomy and Operative Topography of the Tricuspid Valve Annulus",

abstract = "BACKGROUND: The region of the tricuspid valve is an important area for various cardiac interventions. In particular, the spatial relationships between the right coronary artery and the annulus of the tricuspid valve should be considered during surgical interventions. The aim of this study was to provide an accurate description of the clinical anatomy and topography of this region. METHODS: We analyzed 107 computed tomography scans (44% female, age 62.1 ± 9.4 years) of the tricuspid valve region. The circumference of the free wall of the tricuspid valve annulus was divided into 13 annular points and measurements were taken at each point. The prevalence of danger zones (distance between artery and annulus less than 2 mm) was also investigated. RESULTS: Danger zones were found in 20.56% of the cases studied. The highest prevalence of danger zones and the smallest distances were found at the annular points of the tricuspid valve located at the posterior insertion of the leaflets, without observed sex-specific differences. CONCLUSION: The highest risk of iatrogenic damage to the right coronary artery is in the posterior part of the tricuspid valve annulus.",

keywords = "right coronary artery damage, tricuspid valve anatomy, tricuspid valve repair, tricuspid valve replacement",

author = "Michal Piotrowski and Marian Burysz and Jakub Batko and Radoslaw Litwinowicz and Mariusz Kowalewski and Krzysztof Bartus and Krzysztof Wr{\'o}bel and Lukasz Graczykowski and Artur Slomka",

year = "2024",

month = jun,

doi = "10.3390/jcdd11060159",

language = "English",

volume = "11",

journal = "Journal of Cardiovascular Development and Disease",

issn = "2308-3425",

publisher = "MDPI",

number = "6",

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TY - JOUR

T1 - The Right Coronary Anatomy and Operative Topography of the Tricuspid Valve Annulus

AU - Piotrowski, Michal

AU - Burysz, Marian

AU - Batko, Jakub

AU - Litwinowicz, Radoslaw

AU - Kowalewski, Mariusz

AU - Bartus, Krzysztof

AU - Wróbel, Krzysztof

AU - Graczykowski, Lukasz

AU - Slomka, Artur

PY - 2024/6

Y1 - 2024/6

N2 - BACKGROUND: The region of the tricuspid valve is an important area for various cardiac interventions. In particular, the spatial relationships between the right coronary artery and the annulus of the tricuspid valve should be considered during surgical interventions. The aim of this study was to provide an accurate description of the clinical anatomy and topography of this region. METHODS: We analyzed 107 computed tomography scans (44% female, age 62.1 ± 9.4 years) of the tricuspid valve region. The circumference of the free wall of the tricuspid valve annulus was divided into 13 annular points and measurements were taken at each point. The prevalence of danger zones (distance between artery and annulus less than 2 mm) was also investigated. RESULTS: Danger zones were found in 20.56% of the cases studied. The highest prevalence of danger zones and the smallest distances were found at the annular points of the tricuspid valve located at the posterior insertion of the leaflets, without observed sex-specific differences. CONCLUSION: The highest risk of iatrogenic damage to the right coronary artery is in the posterior part of the tricuspid valve annulus.

AB - BACKGROUND: The region of the tricuspid valve is an important area for various cardiac interventions. In particular, the spatial relationships between the right coronary artery and the annulus of the tricuspid valve should be considered during surgical interventions. The aim of this study was to provide an accurate description of the clinical anatomy and topography of this region. METHODS: We analyzed 107 computed tomography scans (44% female, age 62.1 ± 9.4 years) of the tricuspid valve region. The circumference of the free wall of the tricuspid valve annulus was divided into 13 annular points and measurements were taken at each point. The prevalence of danger zones (distance between artery and annulus less than 2 mm) was also investigated. RESULTS: Danger zones were found in 20.56% of the cases studied. The highest prevalence of danger zones and the smallest distances were found at the annular points of the tricuspid valve located at the posterior insertion of the leaflets, without observed sex-specific differences. CONCLUSION: The highest risk of iatrogenic damage to the right coronary artery is in the posterior part of the tricuspid valve annulus.

KW - right coronary artery damage

KW - tricuspid valve anatomy

KW - tricuspid valve repair

KW - tricuspid valve replacement

U2 - 10.3390/jcdd11060159

DO - 10.3390/jcdd11060159

M3 - Article

SN - 2308-3425

VL - 11

JO - Journal of Cardiovascular Development and Disease

JF - Journal of Cardiovascular Development and Disease

IS - 6

M1 - 159

ER -

The Right Coronary Anatomy and Operative Topography of the Tricuspid Valve Annulus

Abstract

Keywords

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