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Tricuspid valve stenosis

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Title: Tricuspid valve stenosis  
Author: World Heritage Encyclopedia
Language: English
Subject: Pulmonary valve stenosis, Aortic insufficiency, Valvular heart disease, Cardiology, Fossa ovalis (heart)
Collection: Chronic Rheumatic Heart Diseases, Valvular Heart Disease
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Tricuspid valve stenosis

Tricuspid valve stenosis
Classification and external resources
Specialty Cardiology
ICD-10 I07.0, I36.0, Q22.4
ICD-9-CM 397.0, 746.9
eMedicine med/2315
MeSH D014264

Tricuspid valve stenosis is a valvular heart disease which results in the narrowing of the orifice of the tricuspid valve of the heart. It is a relatively rare condition that causes stenosis- increased resistance to blood flow through the valve.

Contents

  • Causes 1
  • Diagnosis 2
  • Treatment 3
  • See also 4
  • References 5
  • External links 6

Causes

It is almost always caused by rheumatic fever[1] and is generally accompanied by mitral stenosis.

Rare other causes include carcinoid syndrome, endocarditis, endomyocardial fibrosis, lupus erythematosus, right atrial myxoma and congenital tricuspid atresia.

Diagnosis

A mid diastolic murmur can be heard during auscultation caused by the blood flow through the stenotic valve. It is best heard over the left sternal border with rumbling character and tricuspid opening snap with wide splitting S1. May increase in intensity with inspiration (Carvallo's sign). The diagnosis and the severity can be assessed by echocardiography.

Treatment

Tricuspid valve stenosis itself usually doesn't require treatment. However, if there is damage to other valves in the heart as well, then surgical repair or replacement must be considered.

The treatment is usually by surgery (tricuspid valve replacement) or percutaneous balloon valvuloplasty. The resultant tricuspid regurgitation from percutaneous treatment is better tolerated than insufficiency occurring during mitral valvuloplasty

See also

References

  1. ^ "Tricuspid Stenosis: Overview - eMedicine Cardiology". Retrieved 2009-03-06. 

External links

  • Echocardiographic features of tricuspid stenosis
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