Isolated rheumatic tricuspid regurgitation and stenosis

The case of a 73-year-old man with right heart failure and systolic and diastolic murmur at the fourth left intercostal space is described. There was a history of rheumatic fever. Two-dimensional echocardiography showed rheumatic change of the tricuspid valve with giant right atrium and ventricle, which was confirmed during operation. This is an unusual case of isolated tricuspid regurgitation and stenosis with convincing evidence of rheumatic etiology.