title: Tricuspid valve repair in a mountaineer.
abstract: Lord Hunt of Everest presented with aortic stenosis but predominant right ventricular failure. He was found to have signs of pulmonary hypertension with a dilated right ventricle, severe tricuspid regurgitation, and right atrial hypertrophy in the absence of elevated pulmonary artery pressures. He is a lifelong mountaineer and we attribute these findings to intermittent prolonged exposure to high altitude.
authors.affiliation: Oxford Heart Centre, John Radcliffe Hospital, United Kingdom. 100407.1052@compuserve.com
authors.forename: A J
authors.initials: AJ
authors.lastname: Marchbank
authors.forename: D V
authors.initials: DV
authors.lastname: Parums
authors.forename: S
authors.initials: S
authors.lastname: Westaby
mesh_terms: D000222:Adaptation, Physiological; D000368:Aged; D000369:Aged, 80 and over; D000531:Altitude; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery; D006332:Cardiomegaly / Q000209:etiology; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology; D008297:Male; D009051:Mountaineering; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D018497:Ventricular Dysfunction, Right / Q000150:complications