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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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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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creator	Vupputuri, Anjith Vijan, Vikrant Prabhu, Mukund A. Thachathodiyl, Rajesh Chandrasekharan Nair, Rajiv
description	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.
doi_str_mv	10.1111/echo.13341
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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
title	Isolated rheumatic severe tricuspid regurgitation
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