Tricuspid Stenosis

Tricuspid stenosis is narrowing of the tricuspid valve orifice (usually rheumatic, often with mitral disease), causing right-atrial hypertension and systemic venous congestion. Clinical: raised JVP with a prominent a-wave, hepatomegaly, edema, and a tricuspid diastolic murmur. Treatment: diuretics/salt restriction; treat accompanying left-sided valve disease; surgical commissurotomy or valve replacement for significant symptomatic stenosis.

Common Symptoms

Systemic venous congestion/edema; raised JVP with a-wave; hepatomegaly; tricuspid diastolic murmur

Causes and Pathogenesis

Rheumatic narrowing of the tricuspid valve obstructs right-atrial outflow, causing venous congestion.

Treatment

Diuretics; treat left-sided disease; surgical commissurotomy/replacement if significant

Preventive Measures

Treat rheumatic heart disease; secondary prophylaxis.

Department to Visit

It is recommended to visit the Cardiology/Cardiac-surgery department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.