Tricuspid stenosis masquerading as right ventricular failure in a patient with a prosthetic mitral valve.
Echocardiographic, phonocardiographic, and pulse tracing recordings demonstrated clinically unsuspected tricuspid stenosis in a 53-year-old man with a prosthetic mitral valve and signs of right heart failure. Physiologic correlates of the patient's heart sounds and diastolic murmur were studied by simultaneous M-mode echocardiograms and phonocardiograms. Cardiac catheterization and subsequent valve surgery confirmed the presence of tricuspid stenosis. It is important to consider the diagnosis of tricuspid stenosis in all patients with a history of rheumatic mitral valve disease who develop findings suggestive of right ventricular failure.
D006328:Cardiac Catheterization; D003937:Diagnosis, Differential; D004452:Echocardiography; D006333:Heart Failure / Q000175:diagnosis*; D006350:Heart Valve Prosthesis; D006801:Humans; D007702:Kinetocardiography; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D010701:Phonocardiography; D011674:Pulse; D012214:Rheumatic Heart Disease / Q000150:complications; D014264:Tricuspid Valve Stenosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery