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Pathology
Narrowing of tricuspid valve reducing outflow into right ventricle
Aetiology
Rheumatic fever, CHD, Carcinoid, Obstructing pacemaker lead
Signs
Raised JVP, Prominent ‘a’ waves, Mid diastolic murmur loudest in inspiration at the lower sternal edge, hepatomegaly and ascites.
Symptoms
Leg swelling, Fatigue
Investigations
ECG: P Pulmonale (Right atrial enlargement) or P Mitrale if co-existent mitral
stenosis
Chest X-Ray: Enlarged right atrium
Echo: Assesses for valvular and leaflet abnormalities
Treatment
Medical: Salt restriction
Diuretics for peripheral oedema
Surgical: Balloon Dilatation, valve is rarely replaced
Prognosis
Related to underlying surgery
Surgical complications, bacterial endocarditis, prosthetic valve failure
Key Facts
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Key Images
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Key References
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