Isolated tricuspid rheumatic valvular regurgitation

Rheumatic heart disease is among the most common acquired heart disease in Nigeria; it is a global disease, but greatest disease burden is in the developing countries; 50% of these are from African. Therefore, this poses a significant challenge to our health facilities; however, over the years, there has been a significant drop in the prevalence of this disease probably due to easy access to over-the-counter medications such as antibiotics. Chronic rheumatic heart disease commonly affects the mitral valves, the aortic valves, and rarely the right heart valves. Rarely, there is isolated aortic, pulmonary, or tricuspid valves' affectation without involving the mitral valve. Therefore, the case of a 12-year-old girl who presented with anasarca; and whose electrocardiogram showed right ventricular hypertrophy; and her echocardiogram confirmed isolated thickened tricuspid valve with severe tricuspid regurgitation is reported.