Primary tricuspid regurgitation: a rare case report

Tricuspid regurgitation is no longer a forgotten valve as TR can be clinical challenge for the treating physician especially patients with moderate to severe tricuspid regurgitation. The aetiology can be primary and secondary TR of which secondary TR is more common with female predominance. Another entity called isolated TR is now seen. Primary TR due to infective endocarditis is a rare condition. Clinical examination must look for signs of right heart failure. Investigations like Transthoracic and transesophageal echocardiogram has to meticulously done to grade the severity of TR and look for morphological changes. Medical management must be tailored made for patients based upon the severity and the clinicians must know when to refer to the valve team for appropriate intervention.