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Dr Boris Orlov

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Secondary Tricuspid Regurgitation<br />

Tricuspid Annular Dysfunction<br />

Tricuspid annular dilatation has long been recognized as a<br />

constant feature of secondary tricuspid regurgitation<br />

Recently, other abnormalities in the annulus have been<br />

discovered<br />

• unlike the saddle-shaped annulus in normal subjects, valves with secondary<br />

tricuspid regurgitation are dilated, flattened, and circular<br />

• an asymmetric reduction in tricuspid annular contraction

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