Pathology: Narrowing of tricuspid valvereducing outflow into right ventricle
Aetiology: Rheumatic fever, CHD,Carcinoid, Obstructing pacemaker lead
Symptoms: Legswelling, Fatigue
Signs: RaisedJVP, Prominent ‘a’ waves, Mid diastolic murmur loudest in inspiration at thelower sternal edge, hepatomegaly and ascites.
Investigations: ECG: P Pulmonale (Right atrial enlargement)or P Mitrale if co-existent mitral
stenosis
Chest X-Ray: Enlarged right atrium
Echo: Assesses for valvular and leafletabnormalities
Treatment: Medical: Salt restriction
Diuretics for peripheral oedema
Surgical: Balloon Dilatation, valve is rarelyreplaced
Complications: Surgical complications, bacterialendocarditis, prosthetic valve failure
Prognosis: Related to underlying surgery
