J. M. García-Pinilla, MD; J. J. Gómez-Doblas, MD; I. Rodríguez-Bailón, MD; R. Alcantara, MD, PhD; M. F. Jiménez-Navarro, MD, PhD; E. De Teresa, MD, PhD
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García-Pinilla J., Gómez-Doblas J., Rodríguez-Bailón I., Alcantara R., Jiménez-Navarro M., De Teresa E.; Reversible Tricuspid Stenosis Secondary to Massive Ascites in Hepatic Cirrhosis. Ann Intern Med. 2004;140:233-234. doi: 10.7326/0003-4819-140-3-200402030-00023
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Published: Ann Intern Med. 2004;140(3):233-234.
TO THE EDITOR:
Background: Tricuspid stenosis is almost always rheumatic in origin. Other causes of obstruction to right atrial emptying are unusual and include congenital tricuspid atresia, right atrial tumors, and the carcinoid syndrome. Rare causes are endomyocardial fibrosis, tricuspid valve vegetations, and intracardiac tumors. Tricuspid stenosis due to extrinsic compression of the tricuspid valve is a rare clinical entity. We describe a patient with severe ascites secondary to hepatic cirrhosis in whom secondary severe pseudotricuspid stenosis was treated effectively with paracentesis of ascitic fluid.
Case Report: A 58-year-old man was hospitalized for decompensated chronic cirrhosis. Ten years ago, he had received a diagnosis of alcoholic chronic liver disease with advanced cirrhosis (Child–Pugh class B) and had been admitted for hydropic decompensation and upper esophageal variceal hemorrhage. Five years ago, an aortic mechanical prosthesis had been implanted because of a severe nonrheumatic aortic lesion; the patient received treatment with warfarin.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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