title: Pulsation, systolic thrill and murmur in femoral veins secondary to severe tricuspid regurgitation.
abstract: We report on a case of pulsatile femoral veins with a systolic thrill and murmur in a 26-year-old patient who exhibited severe tricuspid regurgitation. The pulsatile nature of the veins may result from the 'ventricularization' of venous pressure with each pressure pulse. The observed systolic thrill and murmur may be due to the systolic reversal of substantial regurgitant flow in the venous system of the lower limbs. This case also demonstrates that severe tricuspid regurgitation can have far-reaching manifestations.
authors.affiliation: Section of Cardiology, Department of Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan. ruby800@cgmh.org.tw
authors.forename: M Y
authors.initials: MY
authors.lastname: Hung
authors.forename: M J
authors.initials: MJ
authors.lastname: Hung
authors.forename: L T
authors.initials: LT
authors.lastname: Kuo
authors.forename: C H
authors.initials: CH
authors.lastname: Wang
authors.forename: W J
authors.initials: WJ
authors.lastname: Cherng
mesh_terms: D000328:Adult; D004452:Echocardiography; D015150:Echocardiography, Doppler; D005260:Female; D005268:Femoral Vein / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000503:physiopathology; D006347:Heart Sounds / Q000502:physiology*; D019918:Heart Valve Prosthesis Implantation; D006503:Hepatic Veins / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D011673:Pulsatile Flow / Q000502:physiology*; D013599:Systole / Q000502:physiology*; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000503:physiopathology; D014690:Venous Pressure / Q000502:physiology