SynopsisCodesDifferential Diagnosis & PitfallsBest TestsReferences
Tricuspid valve stenosis
Other Resources UpToDate PubMed

Tricuspid valve stenosis

Contributors: Christine Osborne MD, Ryan Hoefen MD, PhD
Other Resources UpToDate PubMed


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 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.


I36.0 – Nonrheumatic tricuspid (valve) stenosis

49915006 – Tricuspid valve stenosis

Differential Diagnosis & Pitfalls

  • Pulmonary hypertension
  • Pulmonary embolism
  • Chronic obstructive pulmonary disease
  • Congestive heart failure
  • Pericardial effusion
  • Acute liver failure
  • Renal failure (Acute kidney injury, Chronic kidney disease)

Best Tests

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Last Updated:05/30/2023
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Tricuspid valve stenosis
A medical illustration showing key findings of Tricuspid valve stenosis : Hepatomegaly, Peripheral leg edema, Cardiac dysrhythmia
Copyright © 2024 VisualDx®. All rights reserved.