User:Mr. Ibrahem/Tricuspid valve stenosis

Tricuspid valve stenosis is a type of valvular heart disease in which there is narrowing of the tricuspid valve opening. Initial symptoms may include tiredness and shortness of breath with exercise. More severe disease may result in leg swelling and liver problems. It is often associated with mitral stenosis and aortic valve disease.

It occurs most commonly due to rheumatic heart disease. Other causes include infective endocarditis, carcinoid syndrome, lupus, and as a complication of a pacemaker. Rare causes include Ebstein's anomaly and the medication fenfluramine. Normally, the tricuspid valve opening is about 4 cm2. A decrease in area below 1 cm2 is severe disease. The diagnosis may be suspected based on a diastolic murmur and confirmed by ultrasound of the heart.

Furosemide may be used to help with fluid overload. In severe cases surgery, either in the form of a valvotomy, valve repair, of valve replacement, maybe done. Outcomes depend on the underlying cause.

Tricuspid stenosis is rare, making up about 2.4% of tricuspid valve disease. Young women are most commonly affected. The first tricuspid valve replacement was in 1966.