Combined tricuspid and pulmonic stenosis. Clinical, echocardiographic, hemodynamic, surgical, and pathological features.
A 30-year-old man with a history of a murmur since childhood had progressive ascites for 2 years. The patient was found to have severe stenoses of the pulmonic and tricuspid valves with a well-developed right ventricle. Impressive clinical improvement occurred after pulmonic valvotomy, infundibulectomy, and replacement of the stenotic tricuspid valve with a porcine xenograft. The clinical, echocardiographic, hemodynamic, surgical, and pathological features are presented.
D000328:Adult; D000818:Animals; D006328:Cardiac Catheterization; D004452:Echocardiography; D006439:Hemodynamics; D006801:Humans; D008297:Male; D011666:Pulmonary Valve Stenosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013552:Swine; D014183:Transplantation, Heterologous; D014261:Tricuspid Valve / Q000637:transplantation; D014264:Tricuspid Valve Stenosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery