title: Giant right atrium due to congenital dysplastic tricuspid valve in an elderly female patient.
abstract: Isolated tricuspid valve disease is rare. We report the case of a 65-year-old female patient who presented with right heart failure. Initial echocardiographic evaluation revealed a giant right atrium (RA) with severe tricuspid inflow obstruction with regurgitation. A comprehensive two- and three-dimensional echocardiographic evaluation revealed a dysplastic tricuspid valve resulting in the inflow obstruction and regurgitation. Rheumatic and carcinoid etiologies were ruled out by relevant tests. It is very rare for dysplastic tricuspid valve to present in late adulthood. The classic echocardiographic findings are discussed followed by a brief review of the literature.
authors.affiliation: Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India.
authors.forename: Ravindranath Khandenahally
authors.initials: RK
authors.lastname: Shankarappa
authors.forename: Srinivas
authors.initials: S
authors.lastname: Papaiah
authors.forename: Satish
authors.initials: S
authors.lastname: Karur
authors.forename: Ravi S
authors.initials: RS
authors.lastname: Math
authors.forename: Manjunath Cholenahally
authors.initials: MC
authors.lastname: Nanjappa
mesh_terms: D000367:Age Factors; D000368:Aged; D003937:Diagnosis, Differential; D019560:Echocardiography, Three-Dimensional; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging* / Q000473:pathology; D006333:Heart Failure / Q000175:diagnosis / Q000000981:diagnostic imaging*; D006801:Humans; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D014261:Tricuspid Valve / Q000000981:diagnostic imaging* / Q000473:pathology; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000000981:diagnostic imaging*; D014264:Tricuspid Valve Stenosis / Q000175:diagnosis / Q000000981:diagnostic imaging*