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Title: The Rediscovered Tricuspid Valve
Sub-title: Structure, Function and Clinical Significance in Health and Disease
Edited by: Giacomo Bianchi
ISBN10-13: 1536160989 : 9781536160987
Format: Hardback
Pages: 302
Weight: .544 Kg.
Published: Nova Science Publishers, Inc - October   2019
List Price: 172.99 Pounds Sterling
Availability: In Stock   Qty Available: 1
Subjects: Cardiovascular medicine
Tricuspid valve disease has long been ignored as a surrogate for the left atrioventricular valve (the mitral valve) and mainly a benign, indolent disease. This concept is currently outdated, as we know that the pathology of the tricuspid valve, primitive or secondary, sometimes isolated, brings with it a poor prognosis if not treated. To date, the complexity is recognized not only of the valve itself, but also of its pathophysiology and the environment of the right heart and its interaction with the left heart. In order to better define the therapeutic path of a patient suffering from tricuspid valve disease, we have tried to offer a comprehensive overview to the reader, starting from historical considerations (Chapter 1) about the vision of the circulatory system and from the evidence accumulated over the centuries until the recognition of the continuum between signs and symptoms related to the valve. As the basis of a modern approach to the understanding of the valve itself, we have traced the embryological and morphogenetic stages towards the anatomo-clinical correlates (Chapter 2). Subsequently, the epidemiology and clinical approach to tricuspid valve disease (Chapter 3) were illustrated, followed by the diagnostic procedure, state-of-the-art imaging techniques (Chapter 4) and more advanced techniques (Chapter 5). In particular, I thought it was necessary to dedicate a chapter to the pathology of the tricuspid valve secondary (functional) to left heart disease (Chapter 6), probably the most frequent form encountered by the clinicians. We have not neglected to discuss about tricuspid valve infections (Chapter 7), with particular reference to the microbiology, diagnosis and treatment. We considered it necessary that the role of the valve in congenital adult disease should also be addressed (Chapter 8), whether in natural history, modified by surgery or as an acquired disease. Neoplastic pathology may also involve the valve and the pathologist provides (Chapter 9) the knowledge and systematization of the most frequent primary and secondary tumors. Coming to the therapeutic act, after dealing with special pathology of the valve, (Chapter 10) we present the pharmacological approach, a necessary act, sometimes as a sole therapeutic option and sometimes propedeutic to surgery. Tricuspid valve plays an absolutely primary role in two aspects of the advanced treatment of refractory heart failure, namely its clinical and prognostic impact on ventricular care systems (LVAD) and cardiac transplantation (Chapter 11) has been discussed. The last two chapters are dedicated to non-medical treatment, with a particular focus on indications, risk selection and stratification as well as adequate surgical techniques (Chapter 12) and new perspectives of intervention through transcatheter techniques (Chapter 13). Overall, there is a need for an integrated and multidisciplinary approach to a complex nosological entity that is itself interdependent on pathophysiological systems, which the clinician, cardiologist, cardiac surgeon, internist and researcher cannot ignore.
Table of Contents:
  • Preface
  • The Tricuspid Valve: From the “Forgotten” Valve to the “Fulcrum” of the Right Heart Historical Perspective
  • The Functional Anatomy and Pathology of the Tricuspid Valve: Morphogenesis, Normal and Pathological Anatomy
  • The Diseased Tricuspid Valve: Epidemiology and Clinical Approach to the Tricuspid Valve Disease
  • Non-Invasive Imaging of the Tricuspid Valve – Ultrasounds: Transthoracic and Transesophageal Echocardiography
  • Advanced Imaging and Functional Tools for Tricuspid Valve Assessment: Cardiac MRI, Ct-Scan and Cardiopulmonary Exercise Test
  • Functional Disease: Tricuspid Valve in Left-Sided Heart Disease
  • Tricuspid Valve Endocarditis: Epidemiology, Treatment and Outcomes
  • Tricuspid Valve Disease in Adults with Congenital Heart Disease in Natural or Modified History
  • Neoplastic Disorders Involving the Right Heart and the Tricuspid Valve
  • Pharmacological Treatment of Tricuspid Regurgitation
  • Tricuspid Valve in the Failing Heart: The Role of Tricuspid Valve during Mechanical Circulatory Support and in Heart Transplantation
  • Surgical Treatment of Functional Tricuspid Valve Disease: Surgeon’s Perspective -- Indications, Risk Stratification and Outcomes
  • Novel Transcatheter Therapies for Treating Tricuspid Regurgitation
  • Index.
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