tricuspid stenosis (TS)

Introduction

Never an isolated lesion.

Etiology

• rheumatic heart disease (most common)
• carcinoid syndrome
• atrial tumors (rare)

Clinical manifestations

• diastolic murmur
  • low pitched, decrescendo, does not radiate
  • increased intensity during inspiration
  • heard best along left lower sternal border
  • low-pitched murmur may be difficult to auscultate, especially with faster heart rate
• elevated central venous pressure
• prominent JVP a-wave
• evidence of venous congestion
  • hepatomegaly, ascites, peripheral edema

More general terms

• tricuspid valve disease

Additional terms

• rheumatic fever
• tricuspid valve