title: Isolated rheumatic severe tricuspid regurgitation.
abstract: Severe isolated tricuspid regurgitation (TR) is very rare, with most cases of TR being functional and secondary to pulmonary hypertension from left heart pathologies. We report an unusual case of a young Nigerian male, who presented to us with dyspnea, repeated hospital admissions for heart failure, and a childhood history of rheumatic fever. Echocardiogram showed massively dilated right atrium and ventricle, noncoaptation of thickened tricuspid valve with torrential free tricuspid regurgitation. Other valves were normal. Cardiac MRI showed normal right ventricular function and viability. Patient underwent tricuspid valve replacement with 35-mm St. Jude valve.
authors.affiliation: Department of Cardiology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India.
authors.forename: Anjith
authors.initials: A
authors.lastname: Vupputuri
authors.affiliation: Department of Cardiology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India.
authors.forename: Vikrant
authors.initials: V
authors.lastname: Vijan
authors.affiliation: Department of Cardiology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India.
authors.forename: Mukund A
authors.initials: MA
authors.lastname: Prabhu
authors.affiliation: Department of Cardiology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Thachathodiyl
authors.affiliation: Department of Cardiology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Chandrasekharan Nair
mesh_terms: D000328:Adult; D004452:Echocardiography / Q000379:methods*; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006350:Heart Valve Prosthesis; D006352:Heart Ventricles / Q000000981:diagnostic imaging*; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods*; D008297:Male; D012214:Rheumatic Heart Disease / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D012720:Severity of Illness Index; D014261:Tricuspid Valve / Q000000981:diagnostic imaging*; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery
keywords: Doppler echocardiography; tricuspid regurgitation; tricuspid valve