| Tricuspid valve stenosis | |
|---|---|
| Other names | Tricuspid stenosis |
| Video explanation of tricuspid disease | |
| Specialty | Cardiology |
| Symptoms | Tiredness, shortness of breath, leg swelling, liver problems[1] |
| Causes | Rheumatic heart disease, infective endocarditis, carcinoid syndrome, lupus, complication of a pacemaker[1] |
| Diagnostic method | Suspected based on a diastolic murmur, confirmed by ultrasound of the heart[1] |
| Differential diagnosis | Constrictive pericarditis, tricuspid regurgitation, atrial myxoma[1] |
| Treatment | Furosemide, surgery[1] |
| Frequency | Rare[1] |
Tricuspid valve stenosis is a type of valvular heart disease in which there is narrowing of the tricuspid valve opening.[1] Initial symptoms may include tiredness and shortness of breath with exercise.[1] More severe disease may result in leg swelling and liver problems.[1] It is often associated with mitral stenosis.[1]
It occurs most commonly due to rheumatic heart disease.[1] Other causes include infective endocarditis, carcinoid syndrome, lupus, and as a complication of a pacemaker.[1] Rare causes include Ebstein’s anomaly and the medication fenfluramine.[1] Normally, the tricuspid valve opening is about 4 cm2.[1] A decrease in area below 1 cm2 is severe disease.[1] The diagnosis may be suspected based on a diastolic murmur and confirmed by ultrasound of the heart.[1]
Furosemide may be used to help with fluid overload.[1] In severe cases surgery, either in the form of a valvotomy, valve repair, of valve replacement, maybe done.[1] Outcomes depend on the underlying cause.[1]
Tricuspid stenosis is rare, making up about 2.4% of tricuspid valve disease.[1] Young women are most commonly affected.[1] The first tricuspid valve replacement was in 1966.[2]
References edit
- ^ a b c d e f g h i j k l m n o p q r s t u Golamari, R; Bhattacharya, PT (January 2020). "Tricuspid Stenosis". PMID 29763166.
{{cite journal}}: Cite journal requires|journal=(help) - ^ Kapoor, Amar S.; Reynolds, Ralph D. (2012). Cancer and the Heart. Springer Science & Business Media. p. 150. ISBN 978-1-4612-4898-9.