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Tricuspid stenosis

Author
William H Gaasch, MD
Section Editor
Catherine M Otto, MD
Deputy Editor
Susan B Yeon, MD, JD, FACC

INTRODUCTION

Tricuspid stenosis (TS) is an uncommon valvular abnormality that most commonly occurs in association with other valvular lesions, particularly in patients with rheumatic heart disease. For many years, surgical commissurotomy and valvuloplasty were the only available methods to correct TS. The development of balloon valvotomy techniques has revolutionized the management of mitral stenosis. Similar techniques can be used to treat TS, although data on treatment of TS are limited. (See "Percutaneous mitral balloon valvotomy for mitral stenosis".)

The clinical features of TS and the management of patients with this lesion will be reviewed here.

ETIOLOGY

Tricuspid stenosis (TS) is most commonly of rheumatic etiology. The majority of cases of tricuspid rheumatic disease present with tricuspid regurgitation or a combination of regurgitation and stenosis; pure TS is very uncommon [1,2]. Rheumatic tricuspid disease almost never occurs as an isolated lesion, but is generally associated with mitral valve disease and, in some cases, aortic valve disease [3,4]. In an angiographic study of 525 patients with rheumatic heart disease, 9 percent had TS and all patients with TS also had significant tricuspid regurgitation [5].

Other causes of flow obstruction at the level of the tricuspid valve include:

Congenital atresia or stenosis of the valve [6,7]. (See "Tricuspid valve (TV) atresia".)

                             

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Literature review current through: Nov 2016. | This topic last updated: Mon Jun 08 00:00:00 GMT+00:00 2015.
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