Key result
A 65-year-old female presented with right heart failure and was found to have a giant right atrium and severe tricuspid inflow obstruction due to a rare congenital dysplastic tricuspid valve.
Case Report (n=1)
This case highlights the rare presentation of a congenital dysplastic tricuspid valve causing a giant right atrium and right heart failure in late adulthood.
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Consider congenital tricuspid dysplasia in unexplained adult right heart failure; leaves open natural history and management strategies.
Isolated tricuspid valve disease is rare. We report the case of a 65-year-old female patient who presented with right heart failure. Initial echocardiographic evaluation revealed a giant right atrium (RA) with severe tricuspid inflow obstruction with regurgitation. A comprehensive two- and three-dimensional echocardiographic evaluation revealed a dysplastic tricuspid valve resulting in the inflow obstruction and regurgitation. Rheumatic and carcinoid etiologies were ruled out by relevant tests. It is very rare for dysplastic tricuspid valve to present in late adulthood. The classic echocardiographic findings are discussed followed by a brief review of the literature.
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Shankarappa et al. (2013) conducted a case report in Giant right atrium due to congenital dysplastic tricuspid valve (n=1). Congenital dysplastic tricuspid valve was evaluated. A 65-year-old female presented with right heart failure and was found to have a giant right atrium and severe tricuspid inflow obstruction due to a rare congenital dysplastic tricuspid valve.
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