Rheumatic tricuspid stenosis. A clinical overview.

Area of Science:

• Cardiology
• Cardiac Surgery
• Rheumatic Heart Disease

Background:

• Rheumatic tricuspid stenosis is a frequent cardiac lesion.
• It often coexists with other valvular abnormalities, complicating diagnosis.
• Accurate assessment requires careful clinical evaluation and hemodynamic monitoring.

Purpose of the Study:

• To present clinical, hemodynamic, and surgical outcomes for patients with rheumatic tricuspid stenosis.
• To emphasize the importance of recognizing and measuring right ventricular diastolic and right atrial pressures.
• To analyze the impact of associated valvular lesions on presentation and management.

Main Methods:

• Retrospective analysis of forty patients with rheumatic tricuspid stenosis.
• Inclusion of clinical and hemodynamic data.
• Documentation of surgical procedures performed, including valve repair, commissurotomy, and prosthetic replacement.

Main Results:

• Surgery involved tricuspid valve repair, commissurotomy, or prosthetic valve replacement, alongside correction of associated lesions.
• Significant clinical improvement was observed in 87% of patients.
• The overall surgical mortality rate was 3%.

Conclusions:

• Rheumatic tricuspid stenosis is a common and significant valvular disease.
• Prompt diagnosis and surgical management lead to favorable outcomes.
• Surgical intervention for tricuspid stenosis, even with associated lesions, is effective and safe.