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Functional Tricuspid Stenosis in Primary Sclerosing Cholangitis: A Case Report

Rodrigo Mendirichaga, MD; Rhanderson Cardoso, MD; Daniel Garcia, MD; Marian Calfa, MD; and Victor Soto, MD
[+] Article, Author, and Disclosure Information

This article was published at www.annals.org on 23 February 2016.

From University of Miami Miller School of Medicine-Jackson Memorial Hospital, Miami, Florida.

Note: Drs. Mendirichaga and Cardoso contributed equally to this work.

Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterest Forms.do?msNum=L15-0403.

Ann Intern Med. 2016;164(9):639-640. doi:10.7326/L15-0403
© 2016 American College of Physicians
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Grahic Jump Location

Transthoracic contrast-enhanced echocardiography.

A. Parasternal short-axis view shows compression of the right atrium and tricuspid valve by the liver with functional tricuspid stenosis. B. Continuous-wave Doppler echocardiography shows elevated diastolic velocity of 2.01 m/s and increased mean pressure gradient (8 mm Hg) across the tricuspid valve. C. Apical 5-chamber view shows contrast reaching the RA by the third cardiac cycle. Opacification of the left chambers is seen in the following cycle, suggesting a right-to-left interatrial shunt. Ao = aorta; AV = aortic valve; LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle; RVOT = right ventricular outflow tract; TV = tricuspid valve.

Grahic Jump Location




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