ContentsSynopsisCodesDifferential Diagnosis & PitfallsBest TestsReferences
Tricuspid valve stenosis
Print
Other Resources UpToDate PubMed

Tricuspid valve stenosis

Print Images (1)
Contributors: Christine Osborne MD, Ryan Hoefen MD, PhD
Other Resources UpToDate PubMed

Synopsis

Tricuspid valve stenosis (TS), or narrowing of the tricuspid valve, does not occur as an isolated lesion and is typically associated with mitral valve stenosis (MS). It is typically associated with rheumatic heart disease (see rheumatic fever) and is more common in women than men. Other causes of tricuspid stenosis include congenital tricuspid stenosis.

Symptoms of TS are initially attributed to MS, as this lesion typically develops first. Most patients initially present with pulmonary congestion and fatigue. As TS progresses, patients develop hepatomegaly, ascites, and peripheral edema with fatigue secondary to low cardiac output state.

Physical examination reveals hepatomegaly, jaundice, evidence of malnutrition, distended jugular veins, and hepatojugular reflex. Auscultation may reveal tricuspid valve opening snap following pulmonic valve closure with a diastolic murmur best heard at the lower left sternal border and xiphoid process and is increased with inspiration and decreased with valsalva maneuver or expiration.

Codes

ICD10CM:
I36.0 – Nonrheumatic tricuspid (valve) stenosis

SNOMEDCT:
49915006 – Tricuspid valve stenosis

Differential Diagnosis & Pitfalls

Best Tests

Subscription Required

References

Subscription Required

Last Updated: 08/31/2016
Copyright © 2019 VisualDx®. All rights reserved.
Tricuspid valve stenosis
Print 1 Images
Tricuspid valve stenosis : Hepatomegaly, Peripheral leg edema, Cardiac dysrhythmia
Copyright © 2019 VisualDx®. All rights reserved.