Tricuspid valve repair in a mountaineer.
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.
Marchbank
A J
AJ
Oxford Heart Centre, John Radcliffe Hospital, United Kingdom. 100407.1052@compuserve.com
Parums
D V
DV
Westaby
S
S
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