Tricuspid valve stenosis

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Tricuspid valve stenosis Classification and external resources
ICD-10	I07.0, I36.0, Q22.4
ICD-9	397.0, 746.9
DiseasesDB	13353
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. This causes increased resistance to blood flow through the valve. It is almost always caused by rheumatic fever 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.

Contents 1 Diagnosis 2 Treatment 3 See also 4 External links

[edit] 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.

[edit] Treatment

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

[edit] See also

• Echocardiography
• Tricuspid valve

[edit] External links

Echocardiographic features of tricuspid stenosis

konteyner

v • d • e Cardiovascular disease: heart disease - Circulatory system pathology (I00-I52, 390-429) Ischaemic heart disease CHD: CAD - Coronary thrombosis - Coronary vasospasm - Coronary artery aneurysm Angina pectoris (Prinzmetal's angina) - Myocardial infarction (heart attack) Acute coronary syndrome - Myocardial rupture - Dressler's syndrome Pericardium Pericarditis (Acute pericarditis, Constrictive pericarditis) - Pericardial effusion - Cardiac tamponade Endocardium/ heart valves Endocarditis (Subacute bacterial endocarditis) mitral (regurgitation, prolapse, stenosis) - aortic (stenosis, insufficiency) - pulmonary (stenosis, insufficiency) - tricuspid (stenosis, insufficiency) Myocardium Myocarditis - Cardiomyopathy (Dilated cardiomyopathy, Hypertrophic cardiomyopathy, Loeffler endocarditis, Restrictive cardiomyopathy, Alcoholic cardiomyopathy) - Arrhythmogenic right ventricular dysplasia Electrical conduction/ arrhythmia heart block: AV (1°, 2°, 3°) - Bundle branch (Left, Right) - Bifascicular - Trifascicular - Sinoatrial - Sick sinus syndrome - Adams-Stokes syndrome pre-excitation syndrome: Wolff-Parkinson-White - Lown-Ganong-Levine tachycardia: Paroxysmal - Supraventricular (AV nodal reentrant, Accelerated idioventricular rhythm, Sinus) - Ventricular (Torsades de pointes) premature contraction: Atrial - Ventricular flutter/fibrillation: Atrial flutter - Ventricular flutter - Atrial fibrillation (Familial) - Ventricular fibrillation pacemaker: Wandering pacemaker - Ectopic pacemaker - Parasystole long QT syndrome: Romano-Ward syndrome - Andersen-Tawil syndrome - Jervell and Lange-Nielsen syndrome cardiac arrest: Sudden cardiac death Other Cardiomegaly - Ventricular hypertrophy (Left, Right) Cor pulmonale Heart failure - Rheumatic fever See also congenital (Q20-Q28, 745-747)

v • d • e Congenital malformations and deformations of circulatory system (Q20-Q28, 745-747) Cardiac chambers and connections Persistent truncus arteriosus - Double outlet right ventricle (Taussig-Bing syndrome) - Transposition of the great vessels (dextro, levo) Cardiac septa Ventricular septal defect - Atrial septal defect (Lutembacher's syndrome) - Atrioventricular septal defect (Ostium primum) - Tetralogy of Fallot - Eisenmenger's syndrome Valvular heart disease/ heart chambers Right: pulmonary and tricuspid valves pulmonary valves (stenosis, insufficiency) - tricuspid valves (stenosis, atresia) - Ebstein's anomaly Left: aortic and mitral valves aortic valves (stenosis, insufficiency, bicuspid) - mitral valves (stenosis, regurgitation) - Hypoplastic left heart syndrome Other congenital malformations of heart Dextrocardia - Levocardia - Cor triatriatum Vascular malformation Great arteries aorta: Patent ductus arteriosus - Aortic coarctation - Interrupted aortic arch - Overriding aorta - Aneurysm of sinus of Valsalva - Vascular ring pulmonary artery: Pulmonary atresia Great veins superior vena cava: Persistent left superior vena cava pulmonary vein: Total anomalous pulmonary venous connection - Scimitar syndrome Other Arteriovenous malformation (Cerebral arteriovenous malformation) See also non-congenital conditions (I, 390-459)