Isolated rheumatic severe tricuspid regurgitation

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,...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2016-11, Vol.33 (11), p.1769-1770
Main Authors: Vupputuri, Anjith, Vijan, Vikrant, Prabhu, Mukund A., Thachathodiyl, Rajesh, Chandrasekharan Nair, Rajiv
Format: Article
Language:English
Subjects:
Adult
Doppler echocardiography
Echocardiography - methods
Heart Atria - diagnostic imaging
Heart Valve Prosthesis
Heart Ventricles - diagnostic imaging
Humans
Magnetic Resonance Imaging, Cine - methods
Male
Rheumatic Heart Disease - complications
Rheumatic Heart Disease - diagnosis
Rheumatic Heart Disease - surgery
Severity of Illness Index
tricuspid regurgitation
tricuspid valve
Tricuspid Valve - diagnostic imaging
Tricuspid Valve Insufficiency - diagnosis
Tricuspid Valve Insufficiency - etiology
Tricuspid Valve Insufficiency - surgery
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Summary: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.
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.13341