Highlights & Basics
- Tricuspid stenosis (TS) most commonly occurs as a late complication of acute rheumatic fever.
- TS rarely occurs in the absence of associated rheumatic mitral and/or aortic disease.
- Dyspnea is a common finding and usually relates to concomitant mitral valve stenosis.
- Prominent a-waves in the jugular venous wave form are a hallmark of tricuspid stenosis in patients who are in sinus rhythm.
- Transthoracic echocardiogram with Doppler flow is accurate for diagnosis.
Quick Reference
History & Exam
Key Factors
Other Factors
Diagnostics Tests
Treatment Options
Definition
Epidemiology
Etiology
Pathophysiology
Images
Congenital tricuspid valve stenosis: 2D transthoracic echocardiogram apical 4 chamber view reveals a small tricuspid valve annulus (dash), RV hypoplasia, and a large atrial septal defect (ASD, arrow)
Hemodynamic tracings obtained during cardiac catheterization from a woman with moderate to severe rheumatic tricuspid valve stenosis
Echocardiogram with color Doppler reveals flow acceleration across the tricuspid valve and spectral Doppler reveals a mean TV gradient of 6 mmHg
Citations
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Baumgartner H, Hung J, Bermejo J, et al; American Society of Echocardiography, European Association of Echocardiography. Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. J Am Soc Echocardiogr. 2009 Jan;22(1):1-23.[Abstract]
Killip J 3rd, Lukas DS. Tricuspid stenosis physiologic criteria for diagnosis and hemodynamic abnormalities. Circulation. 1957 Jul;16(1):3-13.[Abstract]
Fawzy ME, Mercer EN, Dunn B, et al. Doppler echocardiography in the evaluation of tricuspid stenosis. Eur Heart J. 1989 Nov;10(11):985-90.[Abstract]
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