Tricuspid valve stenosis in the setting of endocarditis is associated with a high morbidity. Diagnostic approaches incorporate a high clinical index of suspicion, echocardiographic evidence, and inferences about hemodynamic data derived from pulmonary artery catheterization. As demonstrated by the case presented herein, inadequate initial evaluation of right-sided pressures delayed the diagnosis and treatment of prosthetic tricuspid valve stenosis.
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References
1.
Benedick BA, Davis SF, Alderman E.: Balloon valvuloplasty for fungal endocarditis induced stenosis of a bio-prosthetic tricuspid valve. Cathet Cardiovasc Diagn21:248-251, 1990.
2.
Ginzton LE, Siegel RJ, Criley JM: Natural history of tricuspid valve endocarditis: A two dimensional echocardiographic study. Am J Cardiol49:1853-1859, 1982 .
3.
Berger M., Delfin LA, Jelveh M., et al: Two-dimensional echocardiographic findings in right-sided infective endocarditis. Circulation61:855-861, 1980.
4.
Mintz GS, Kotler MN, Segal BL, et al: Comparison of two-dimensional and M-mode echocardiography in the evaluation of patients with infective endocarditis. Am J Cardiol43:738-744, 1979.
5.
Parris TM, Pandis IP, Ross J., et al: Doppler echocardiographic findings in rheumatic tricuspid stenosis . Am J Cardiol60:1414-1418, 1987 .
6.
Fawzy ME, Mercer EN, Dunn B., et al: Doppler echocardiography in the evaluation of tricuspid stenosis . Eur Heart J10:985-990, 1989.
7.
Yousof AM, Shafei MZ, Endrys G., et al: Tricuspid stenosis and regurgitation in rheumatic heart disease: A prospective cardiac catheterization study in 525 patients. Am Heart J110:60-64, 1985.
Khalilullah M., Tyagi S., Yadav BS, et al: Double-balloon valvuloplasty of tricuspid stenosis. Am Heart J114:1232-1235, 1987 .
11.
Mullins CE, Nihill MR, Vick GW, et al: Double balloon technique for dilation of valvular or vessel stenosis in congenital and acquired heart disease. J Am Coll Cardiol10:107-114, 1987.
12.
Feit F., Stecy PJ, Nachamie MS: Percutaneous balloon valvuloplasty for stenosis of a porcine bioprosthesis in the tricuspid valve position. Am J Cardiol58:363-364, 1986.
13.
Ribeiro PA, Zaibag MA, Kasab SA, et al: Percutaneous double balloon valvotomy for rheumatic tricuspid stenosis. Am J Cardiol61:660-662, 1988.
