Rheumatic Tricuspid Regurgitation after Left Valve Surgery
DOI:
https://doi.org/10.2015/hc.v3i1%20sup.124Abstract
A 77 old male presented with one year history of progressive dyspnea, upper abdominal discomfort and massive edema. He had an aortic and mitral valve replacement 10 years earlier for rheumatic involvement while tricuspid regurgitation on that time was reported as moderate and was left inoperable. Physical examination demonstrated prominent jugular V waves, grade III holosystolic murmur along the left lower sternal border, pulsatile hepatomegaly, ascites and massive lower extremity edema.Transthoracic echocardiogram revealed well functioning prosthetic left heart valves, a rheumatic tricuspid valve, severe tricuspid regurgitation (TR), plethoric inferior vena cava and right ventricular systolic pressure less than 40 mmHg suggesting the rheumatic than functional origin of TR. The right ventricle was dilated with impaired systolic function.Downloads
Issue
Section
License
Authors who publish with this journal agree to the following terms:a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
