Methysergide (Sansert) is known to cause mitral and aortic valvular fibrosis and dysfunction, but has generally not been known to damage right heart valves or the myocardium, and cardiac fibrosis has not been considered to be a risk if therapy is intermittently interrupted. The woman who is the subject of this case report developed catheterization-proven severe tricuspid and moderate aortic and...

Ebstein anomaly is characterized by deformities of the anterior leaflet of the tricuspid valve and atrialization of the right ventricle. Patients with severe tricuspid regurgitation are recommended to have tricuspid valve surgery with concomitant atrial septal defect closure. A 73-year-old female with Ebstein anomaly presented with severe hypoxemia. Transthoracic echocardiography revealed sever...

We report the case of an 8-year-old patient with severe acute mitral regurgitation and tricuspid regurgitation after a motor vehicle collision caused by traumatic injuries of the supporting structures of both valves. An echocardiogram showed avulsion of the posteromedial papillary muscle of the mitral valve and a severely prolapsed anterior tricuspid valve leaflet. In addition, there was a near...

To cite: Vijay SK, Tiwari B, Misra M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014204407 DESCRIPTION A 30-year-old woman presented to us with a history of effort dyspnoea, palpitations and recurrent syncope. Her physical examination showed central cyanosis with clubbing of fingers and precordial auscultation revealed an ejection systolic murmur pres...

OBJECTIVES The aim of this study is to investigate the factors contributing to the progression of functional tricuspid regurgitation (TR) after mitral repair for degenerative mitral regurgitation (MR) in relation to pre and postoperative atrial fibrillation (AF) and performance of the maze procedure. METHODS We assessed 398 patients with less than moderate TR who did not undergo tricuspid val...

A 67-year-old female patient was referred to our transesophageal echocardiography (TEE) laboratory for the evaluation of the severity of valve pathologies. Two-dimensional (2-D) transthoracic echocardiography (TTE) revealed rheumatic mitral valve with moderate mitral regurgitation (MR), moderate mitral stenosis (MS), and severe tricuspid regurgitation (TR). In 2-D TEE, we also identified rheuma...

We report a patient in whom permanent endocardial pacing was accomplished by passage of the electrode through a mechanical tricuspid valve. Echocardiography study showed a minimal tricuspid regurgitation.

Background In the context of endemic left-sided rheumatic heart disease, tricuspid valve disease requiring surgical intervention merits closer scrutiny in order to analyse surgical outcomes with presently employed techniques. Aims To evaluate the results of simultaneous tricuspid valve surgery for severe functional tricuspid regurgitation in rheumatic heart disease at the time of left-sided val...

Severe left ventricular volume overloading causes myocardial and cellular contractile dysfunction. Whether this is also true for severe right ventricular volume overloading was unknown. We therefore created severe tricuspid regurgitation percutaneously in seven dogs and then observed them for 3.5-4.0 yr. All five surviving operated dogs had severe tricuspid regurgitation and right heart failure...