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Review
. 2020 Sep 7;13(9):e235190.
doi: 10.1136/bcr-2020-235190.

Case of calcific tricuspid and pulmonary valve stenosis

Yash Paul Sharma  1 , Prashant Kumar Panda  1 , Lipi Uppal  2 , Uma Debi  3
Affiliations
Review

Case of calcific tricuspid and pulmonary valve stenosis

Yash Paul Sharma et al. BMJ Case Rep. .

Abstract

Isolated right-sided valvular disease is a much less recognised entity when compared with left-sided valvular heart disease. Almost all the cases of combined pulmonary valve with tricuspid valve involvement are a consequence of underlying carcinoid heart disease. Moreover, severe calcification of tricuspid valve is an extremely unusual finding. We report a case of a severe calcific tricuspid valve stenosis along with severe pulmonary valve stenosis where the exact aetiology could not be established. On reviewing the literature, we did not find any reports describing such a morphology.

Keywords: heart failure; radiology (diagnostics); valvar diseases.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
ECG depicting right bundle branch block, right atrial enlargement with right ventricular hypertrophy.
Figure 2
Figure 2
Transthoracic echocardiography: still colour Doppler image showing thickened and calcified tricuspid valve with dilated right-sided chambers in apical four-chamber view. Both anterior tricuspid leaflet and septal tricuspid leaflet are thickened with high velocity jet seen across the valve.
Figure 3
Figure 3
Transthoracic echocardiography: right ventricular inflow view showing thickened anterior tricuspid leaflet and posterior tricuspid leaflet.
Figure 4
Figure 4
Transthoracic echocardiography: high parasternal short axis view showing thickened pulmonary valve with continuous wave Doppler gradient of 135 mm Hg. Presence of ‘dagger’-shaped late-peaking curve denotes additional infundibular stenosis.
Figure 5
Figure 5
Fluoroscopic image depicting ring calcification of the tricuspid valve (black arrow).
Figure 6
Figure 6
Cardiac MRI revealing T2 hypointensity in the region of tricuspid valve suggestive of calcification (red arrow).
See this image and copyright information in PMC

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