• Huma Fatima, Feroze Mahmood, Sankalp Sehgal, Kiran Belani, Aidan Sharkey, Omar Chaudhary, Yanick Baribeau, Robina Matyal, and Kamal R Khabbaz.
• Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
• J. Cardiothorac. Vasc. Anesth. 2020 Oct 1; 34 (10): 2703-2706.

AbstractThere has been a resurgence of interest in the structure and function of the tricuspid valve (TV) with the established prognostic impact of functional tricuspid regurgitation. Current 3-dimensional transesophageal echocardiography prototype software is limited to exploration of the mitral and aortic valves exclusively. Thus, newer analytical software is required for dynamic geometric analysis of the TV morphology for remodeling. This article presents a preliminary experience with novel artificial intelligence-based semiautomated software for TV analysis. The software offers high correlation to surgical inspection by its ability to analyze morphology and dynamics of the valve throughout the cardiac cycle. In addition, it allows higher reproducibility of data analysis and reduces interobserver variability with minimal need for manual intervention. Integration of interactivity through preprocedural placement of specific devices of different sizes and shapes in the mitral and aortic positions facilitates prognostic evaluation of surgical and interventional procedures.Copyright © 2020 Elsevier Inc. All rights reserved.

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